PREMIERE PEDIATRICS PLLC
NPI 1043354228
Pediatrics in Norman, OK

Active since February 19, 2007CLIA 37D0469916 · Waiver
3261 24TH AVE NW STE 101, NORMAN, OK 73069(405) 364-6432(405) 364-0090 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 27, 2026, Mar 23, 2023, Mar 13, 2023 and 1 more (4 updates tracked since 2023).

About Premiere Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERE PEDIATRICS PLLC (NPI 1043354228) is a healthcare organization registered as a pediatrics in Norman, Oklahoma and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 12, 2028, maintains a secondary practice location in Norm, and lists Glen Diaz, Officer, as its authorized official.

NPPES Registry Identity

NPI1043354228
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePREMIERE PEDIATRICS PLLC
Location Address3261 24TH AVE NW STE 101Norman, OK 73069-6666
Mailing Address3261 24th Ave Nw Ste 101Norman, OK 73069-6666 · (405) 364-6432 · Fax (405) 364-0090
Fax(405) 364-0090
Organization SubpartNo
Authorized OfficialGlen DiazOfficer · (405) 364-6432
Enumeration DateFebruary 19, 2007
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1043354228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3261 24TH AVE NW STE 101, Norman, OK 73069

Secondary Practice Location 1

Location 13217 24th Avenue, Suite 103Norm, OK 73069 · Phone (405) 364-6432 · Fax (405) 364-0090

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0469916

Premiere Pediatrics · Norman, OK
Active · expires Apr 12, 2028
CLIA Number37D0469916
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorBrian T. Ellis
Laboratory Phone(405) 364-6432
Laboratory LocationPremiere Pediatrics3261 24th Ave NW Suite 101, Norman, OK 73069
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Nurse Practitioner (Family)
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Pediatrics
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Nurse Practitioner (Family)
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Dietitian, Registered
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Nurse Practitioner (Psychiatric/Mental Health)
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Nurse Practitioner (Family)
3261 24TH AVE NW STE 101
NORMAN, OK 73069
Pediatrics
3261 24TH AVE NW STE 101
NORMAN, OK 73069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiere Pediatrics PLLC's NPI number?

The NPI number for Premiere Pediatrics PLLC is 1043354228. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Premiere Pediatrics PLLC located?

Premiere Pediatrics PLLC is located at 3261 24th Ave NW Ste 101, Norman, OK 73069. The listed phone number is (405) 364-6432.

What is Premiere Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Premiere Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0469916) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiere Pediatrics PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Premiere Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premiere Pediatrics PLLC was last updated on April 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.