Pediatric Respiratory Sleep Services

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

14925 Issued in OK

Legal business name

PEDIATRIC RESPIRATORY SLEEP SERVICES

Practice address

2424 E 21St St
440
Tulsa, OK 74114-1711

Phone

(918) 394-3497

Fax

(918) 392-0597

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Traci Popejoy, CEO

Title

Ceo

Phone

(918) 852-3497

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1932405313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST",
            "address_2": "440",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141711",
            "telephone_number": "918-394-3497",
            "fax_number": "918-392-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST",
            "address_2": "440",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141711",
            "telephone_number": "918-394-3497",
            "fax_number": "918-392-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC RESPIRATORY SLEEP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "POPEJOY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-852-3497",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OK",
            "license": "14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neonatal-Perinatal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Neonatal-Perinatal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.