Organization Active NPI

Midtown Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1669016168
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIDTOWN PEDIATRICS, PLLC
Practice address
1145 S Utica Ave Ste 403
Tulsa, OK 74104-4015
Phone
(918) 960-2006
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Charity Pollak, MDNPI 1093745879
Title
MD/Owner
Phone
(918) 960-2006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1145 S Utica Ave Ste 403
Tulsa, OK 74104-4015

Mailing address

1145 S Utica Ave Ste 403
Tulsa, OK 74104-4015
Phone (918) 960-2006

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2174847Midtown Pediatrics1145 S Utica Ave, Ste 403, Tulsa, OK 74104Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1669016168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 403",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044015",
            "telephone_number": "918-960-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 403",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044015",
            "telephone_number": "918-960-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "918-960-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.