TULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC
NPI 1215975883
Pediatrics in Tulsa, OK

Q: What is Tulsa Pediatric And Adolescent Medicine, PC's specialty?

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

Active since June 03, 2006

1919 S WHEELING AVE, SUITE 304, TULSA, OK 74104(918) 748-7620(918) 748-7647 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tulsa Pediatric And Adolescent Medicine, Pc NPPES

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

TULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC (NPI 1215975883) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization lists Joel K Gist, President, as its authorized official.

NPPES Registry Identity

NPI1215975883

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameTULSA PEDIATRIC AND ADOLESCENT MEDICINE, PC

Location Address1919 S WHEELING AVE, SUITE 304Tulsa, OK 74104-5638

Mailing Address1919 S Wheeling Ave, Suite 304Tulsa, OK 74104-5638 · (918) 748-7620 · Fax (918) 748-7647

Phone(918) 748-7620

Fax(918) 748-7647

Organization SubpartNo

Authorized OfficialJoel K GistPresident · (918) 748-7620

Enumeration DateJune 3, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215975883 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.

1919 S WHEELING AVE, Tulsa, OK 74104

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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

Other Providers at the Same Location NPPES 20

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

CASIE NICOLE BRIM NP

Nurse Practitioner

1919 S WHEELING AVE, SUITE 606
TULSA, OK 74104

Tulsa County (918) 748-7676

BRIAN CROTTY D.O.

Family Medicine

1919 S WHEELING AVE, LL 100
TULSA, OK 74104

Tulsa County (918) 748-7890

JULIE ANN KINZIE L.C.S.W.

Social Worker (Clinical)

1919 S WHEELING AVE, SUITE 204
TULSA, OK 74104

Tulsa County (918) 403-7200

CHARLES ANTHONY HOWARD MD

Surgery

1919 S WHEELING AVE, SUITE 600
TULSA, OK 74104

Tulsa County (918) 744-3523

DONNA J KRUTKA M.D.

Pediatrics (Adolescent Medicine)

1919 S WHEELING AVE, SUITE 304
TULSA, OK 74104

Tulsa County (918) 748-7620

DR. DIVINA ROMAN M.D.

Internal Medicine (Adolescent Medicine)

1919 S WHEELING AVE, 200
TULSA, OK 74104

Tulsa County (918) 748-7600

DR. JON P COX M.D.

Internal Medicine

1919 S WHEELING AVE, 402
TULSA, OK 74104

Tulsa County (918) 748-7877

DR. KENNETH E WIEMAR M. D.

Specialist

1919 S WHEELING AVE, SUITE 300
TULSA, OK 74104

Tulsa County (918) 748-7570

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 Tulsa Pediatric And Adolescent Medicine, PC's NPI number?

The NPI number for Tulsa Pediatric And Adolescent Medicine, PC is 1215975883. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Tulsa Pediatric And Adolescent Medicine, PC located?

Tulsa Pediatric And Adolescent Medicine, PC is located at 1919 S Wheeling Ave Suite 304, Tulsa, OK 74104. The listed phone number is (918) 748-7620.

What is Tulsa Pediatric And Adolescent Medicine, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tulsa Pediatric And Adolescent Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.