Tulsa Pediatric Group, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9951 Issued in OK

Legal business name

TULSA PEDIATRIC GROUP, PC

Practice address

6465 S Yale Ave Ste 715
Tulsa, OK 74136-7809

Phone

(918) 481-4750

Fax

(918) 481-4755

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Kristin M Stevens, M.D.NPI 1982654752

Title

Owner

Phone

(918) 481-4750

Specialties & licenses 1

Addresses

Other identifiers 1

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 7

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

• Kristin Marie Stevens, M.D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1982654752
  NPD (past) Authorized official
• Jere Davies Cravens, M.D.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1659372878
  NPD (past)
• Carrie Harp-Wetz, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1750428603
  NPD (past)
• Mackenzie Eran Jenkinson

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1760771190
  NPD (past)
• Allison H Thompson, MD

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1336107416
  NPD (past)
• Kendra Beth Krahenbuhl, D.O.

  • Pediatrics Physician
  • Temple, TX
  • NPI 1093150096
  NPD (past)
• Laura Bayon Ross, MD

  • Pediatrics Physician
  • Kansas City, MO
  • NPI 1093814626
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1891826368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 715",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367809",
            "telephone_number": "918-481-4750",
            "fax_number": "918-481-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE AVE STE 715",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367809",
            "telephone_number": "918-481-4750",
            "fax_number": "918-481-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA PEDIATRIC GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-481-4750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "9951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087850A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tulsa Precision Dental
• Tulsa Premier Dentistry, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.