Glow Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GLOW PEDIATRICS, PLLC

Practice address

1601 SW Parkridge Blvd Ste 304
Lawton, OK 73505-7569

Phone

(405) 871-5807

NPI assigned

Feb 20, 2023

Organization subpart

No

Name

Dr. Hokehe Eko, MDNPI 1811208945

Title

Ceo

Phone

(405) 871-5807

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hokehe Eko, M.D.

  • Pediatrics Physician
  • Lawton, OK
  • NPI 1811208945

  Pediatrics

  NPD Authorized official

Tax ID family

Glow Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glow Pediatrics LLC

  • Pediatrics Physician
  • Lawton, OK
  • NPI 1932983335
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2024.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1558069476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW PARKRIDGE BLVD STE 304",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057569",
            "telephone_number": "405-871-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW PARKRIDGE BLVD STE 304",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057569",
            "telephone_number": "405-871-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "EKO",
        "authorized_official_first_name": "HOKEHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-871-5807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811208945",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonia Jeanette Glenn, RN
• Michael John Gliddon, DDS
• Global Sleep Lawton LP
• Erin Belanger Glomset, PA-C
• Glow Pediatrics LLC
• Daniel Max Goates, DO
• Christopher Godfrey, CSA
• Matthew Godfrey, PT, DPT
• Shirley Godfrey, LCSW
• Shante Godwin, MS, CM II

• All providers in Lawton, OK
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.