Organization Active NPI

Tulsa Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Tulsa, OK
National Provider Identifier
1871745802
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
21759 Issued in OK
Legal business name
TULSA PEDIATRIC URGENT CARE
Practice address
7717 E 91St St
Tulsa, OK 74133-6053
Phone
(918) 895-7808
Fax
(918) 895-7807
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Mrs. Victoria Ann Raley
Title
Office Manager
Phone
(918) 625-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 21759 OK Primary

Addresses

Primary practice location

7717 E 91St St
Tulsa, OK 74133-6053

Mailing address

6528 E. 101St Street PMB#431
Suite D1
Tulsa, OK 74133
Phone (918) 895-7808

National Provider Directory

National Provider Directory

Locations

7717 E 91st St
Tulsa, OK 74133
Phone (918) 895-7808

Practitioners & affiliated clinicians

Practitioners 6

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1871745802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 E. 101ST STREET PMB#431",
            "address_2": "SUITE D1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-895-7808",
            "fax_number": "918-895-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336053",
            "telephone_number": "918-895-7808",
            "fax_number": "918-895-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA PEDIATRIC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-625-6313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "21759",
            "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 Oct 22, 2008; 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.