Okmulgee Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

10783 Issued in OK

Legal business name

OKMULGEE PEDIATRICS

Doing business as

Okmulgee Pediatrics & Family Care, L.L.P.

Practice address

916 E 8TH St
Okmulgee, OK 74447-4724

Phone

(918) 756-8371

Fax

(918) 758-3437

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Naila Paul, MD

Title

Owner

Phone

(918) 756-8371

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Okmulgee Pediatrics & Family Care, L.L.P. Doing business as

Tax ID family

Okmulgee Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Okmulgee Pediatrics PC

  • Pediatrics Physician
  • Okmulgee, OK
  • NPI 1336221688
  NPD tax ID

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1912181348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474724",
            "telephone_number": "918-756-8371",
            "fax_number": "918-758-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474724",
            "telephone_number": "918-756-8371",
            "fax_number": "918-758-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKMULGEE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "NAILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-756-8371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100708210C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Okmulgee Pediatrics & Family Care, L.L.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Olakunle D. Ajanaku, MD. PC.

• Specialist in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.