Owasso Pediatric and Adolescent Medicine, P.L.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.

Practice address

12455 E 100TH St N
Suite 280
Owasso, OK 74055-4600

Phone

(918) 274-9700

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2020By 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

Dr. Aaron Henley, D.O.

Title

Physician

Phone

(918) 274-9700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Scott McDowell, D.O.

  • Pediatrics Physician
  • Owasso, OK
  • NPI 1871516500
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982624292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N",
            "address_2": "SUITE 280",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N",
            "address_2": "SUITE 280",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-274-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owasso Medical Facility LLC
• Owasso Medical Facility, Inc (St. John Owasso)
• Owasso Nursing Center, Inc. (Sequoyah Pointe Living Center)
• Owasso Orthodontics
• Owasso Pain Management
• Owasso Pediatric Dentistry, PLLC (Owasso Pediatric Dental)
• Owasso Periodontics and Dental Implants
• Owasso Public Schools
• Owasso Speech Co LLC (Owasso Speech Co)
• Owasso Wellness PLLC (Northside Family Chiropractic)

• Pediatric Adolescent Medicine Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Pediatric Adolescent Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.