Clover Pediatric Wellness and Weight Management

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

CLOVER PEDIATRIC WELLNESS AND WEIGHT MANAGEMENT

Practice address

11911 S Oxford Ave Ste 200
Tulsa, OK 74137-7778

Phone

(918) 884-6623

NPI assigned

Feb 29, 2024

Organization subpart

No

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

Authorized official

Name

Carley Gomez-Meade, DONPI 1831391986

Title

Physician

Phone

(918) 884-6623

Specialties & licenses 1

Addresses

Other names 1

• Clover Pediatrics Doing business as

Locations

Practitioners 1

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

• Carley Gomez-Meade, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1831391986

  Pediatric Endocrinology

  NPD Authorized official

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1992562540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 S OXFORD AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377778",
            "telephone_number": "918-884-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 S OXFORD AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377778",
            "telephone_number": "918-884-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PEDIATRIC WELLNESS AND WEIGHT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-MEADE",
        "authorized_official_first_name": "CARLEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-884-6623",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecia Clother
• Alexis Cloud
• Brandy Clouse
• Kristin Clouser
• Michael E Clouser, M.D.
• Cloverleaf Services PLLC
• Cody Clovis
• Kylah Clovis, OT
• Kily Clow
• Christine Clowdus

• Pediatric Endocrinology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Endocrinology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.