Pedistat, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

21053 Issued in OK

Legal business name

PEDISTAT, PLLC

Doing business as

PediStat

Practice address

4710 E 51St St
Tulsa, OK 74135-3704

Phone

(918) 928-7828

NPI assigned

May 20, 2013

Last updated

Dec 1, 2025By 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

Dr. Ethan Aaron Warlick, M.D.NPI 1245227123

Title

Medical Director

Phone

(918) 928-7828

Specialties & licenses 2

Addresses

Other names 1

• PediStat Doing business as

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 1

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.

• Ethan Warlick, M.D.

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1245227123

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1639515471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353704",
            "telephone_number": "918-928-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353704",
            "telephone_number": "918-928-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDISTAT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "WARLICK",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-928-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "21053",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PediStat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pediatric Ophthalmology, PC (Pediatric Eye Associates, Gary T. Denslow & Kids Point of View)
• Pediatric Respiratory Sleep Services
• Pediatric Specialists of Tulsa
• Pediatric Surgery, Inc.
• David W Pedicord, DDS MDS
• Rebecca D Peel
• Avery Peelen, CCC-SLP
• Michelle R Peeples, COTA/L
• Peery Chiropractic Clinic, PLLC
• Mark E Peery, D.C.

• Urgent Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.