Children's Clinic, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN'S CLINIC, PLLC

Doing business as

Dr. Jerry Whatley

Practice address

3101 Chandler Rd Ste 101
Muskogee, OK 74403-4955

Phone

(918) 687-4411

Fax

(918) 687-4448

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By 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

Mr. Ryan Hardaway

Title

General Manager

Phone

(918) 687-4411

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jerry Whatley Doing business as

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1720633571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-687-4411",
            "fax_number": "918-687-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CHANDLER RD STE 101",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034955",
            "telephone_number": "918-687-4411",
            "fax_number": "918-687-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "918-687-4411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jerry Whatley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quintevin Raymond Cherry
• Sherika Miles Cherry
• Carissa Chesser, MSN, FNP-C
• Children's Clinic of Muskogee, LLC
• Children's Clinic, PLLC
• Childrens Clinic LLC
• Kristopher Chinnery, PT
• Colby Renee Christian
• Ah-Nee Ge-Loost Christie-Vangen
• Nicholas Christie, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.