PREMIER PEDIATRIC AND ADOLESCENT CARE OF BIXBY
NPI 1326674177
Pediatrics in Bixby, OK

Q: What is Premier Pediatric And Adolescent Care Of Bixby's specialty?

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

Active since March 12, 2020CLIA 37D2179768 · Waiver

7814 E 121ST ST, BIXBY, OK 74008(918) 943-5777 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Pediatric And Adolescent Care Of Bixby NPPES

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

PREMIER PEDIATRIC AND ADOLESCENT CARE OF BIXBY (NPI 1326674177) is a healthcare organization registered as a pediatrics in Bixby, Oklahoma and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Ryan Mundy, Owner, as its authorized official.

NPPES Registry Identity

NPI1326674177

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePREMIER PEDIATRIC AND ADOLESCENT CARE OF BIXBY

Location Address7814 E 121ST STBixby, OK 74008

Mailing Address5913 E 108th StTulsa, OK 74137-7057 · (918) 853-2710

Phone(918) 943-5777

Organization SubpartNo

Authorized OfficialRyan MundyOwner · (918) 943-5777

Enumeration DateMarch 12, 2020

Last NPPES UpdateMarch 13, 2020

NPPES CertifiedMarch 13, 2020

✔ NPI 1326674177 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.

7814 E 121ST ST, Bixby, OK 74008

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 37D2179768

Premier Pediatric And Adolescent Care Of Bixby · Bixby, OK

Active · expires Mar 1, 2028

CLIA Number37D2179768

Laboratory TypePhysician Office

Certificate Effective DateMarch 2, 2026

Certificate Expiration DateMarch 1, 2028

Laboratory DirectorRyan T. Mundy

Laboratory Phone(918) 853-2710

Laboratory LocationPremier Pediatric And Adolescent Care Of Bixby7814 E 121st St, Bixby, OK 74008

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Premier Pediatric And Adolescent Care Of Bixby's NPI number?

The NPI number for Premier Pediatric And Adolescent Care Of Bixby is 1326674177. It was assigned to this organization in the NPPES registry on March 12, 2020.

Where is Premier Pediatric And Adolescent Care Of Bixby located?

Premier Pediatric And Adolescent Care Of Bixby is located at 7814 E 121st St, Bixby, OK 74008. The listed phone number is (918) 943-5777.

What is Premier Pediatric And Adolescent Care Of Bixby's specialty?

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

Does Premier Pediatric And Adolescent Care Of Bixby hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2179768) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Pediatric And Adolescent Care Of Bixby 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 list Premier Pediatric And Adolescent Care Of Bixby 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 Premier Pediatric And Adolescent Care Of Bixby was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.