NPIMap

Organization Active NPI

Norman Pediatric Associates

  • Pediatrics Physician
  • Norman, OK
National Provider Identifier
1710926183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18110 Issued in OK
Legal business name
NORMAN PEDIATRIC ASSOCIATES
Practice address
808 Wall St
Norman, OK 73069-6302
Phone
(405) 321-5114
Fax
(405) 321-6482
NPI assigned
Jun 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donna S Jackson, M.D.NPI 1174579221
Title
President
Phone
(405) 321-5114

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
Pediatrics Physician 208000000X 18110 OK Primary

Addresses

Primary practice location

808 Wall St
Norman, OK 73069-6302

Mailing address

808 Wall St
Norman, OK 73069-6302
Phone (405) 321-5114

National Provider Directory

National Provider Directory

Locations

3231 Healthplex Dr
Norman, OK 73072
Phone 4053215114 ext. 3239

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710926183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696302",
            "telephone_number": "405-321-5114",
            "fax_number": "405-321-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WALL ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696302",
            "telephone_number": "405-321-5114",
            "fax_number": "405-321-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-321-5114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "18110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.