Utica Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

UTICA PEDIATRICS

Practice address

1589 E 19TH St
Tulsa, OK 74120-7629

Phone

(918) 743-8941

NPI assigned

Apr 21, 2020

Last updated

May 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Kendall

Title

Office Manager

Phone

(918) 743-8941

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Renee Hayden, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1649633660
  NPD
• Patrick Joseph Daley, M.D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1932183548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1457971335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 E 19TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741207629",
            "telephone_number": "918-743-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 E 19TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741207629",
            "telephone_number": "918-743-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-743-8941"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tulsa",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tulsa",
            "address_1": "1589 E 19th St",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741207629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Usry
• Ut Medservices LLC
• Utb Anesthesia PLLC
• Utica Counseling, LLC (Vickie C. Mackey-Shivel, LPC)
• Utica Family Dentistry PLLC (Utica Dental)
• Utica Plastic Surgery Inc
• Utica Services Inc (Ascension RX 1602)
• Utica Services Inc. (Regional Radiology)
• Utica Services Inc. (Regional Radiology Mammography)
• Utica Women's Specialists, LLC

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.