PEDIATRIC SPECIALISTS OF TULSA
NPI 1457796039
Pediatrics in Tulsa, OK

NPI Status: Active since May 08, 2013

Contact Information

7412 S YALE AVE
TULSA, OK
ZIP 74136
Phone: (918) 523-5437
Fax: (918) 523-5438

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  • Organization
  • Pediatrics
  • CLIA Number: 37D2059207
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2027

About PEDIATRIC SPECIALISTS OF TULSA

This page provides the complete NPI Profile along with additional information for Pediatric Specialists Of Tulsa, a pediatrician established in Tulsa, Oklahoma operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1457796039 assigned on May 2013. The practitioner's primary taxonomy code is 208000000X with license number 21759 (OK). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Stacy M O'sullivan Md (Owner)

NPI
1457796039
Provider Name
PEDIATRIC SPECIALISTS OF TULSA
Entity Type
Organization
Location Address
7412 S YALE AVE TULSA, OK 74136
Location Phone
(918) 523-5437
Location Fax
(918) 523-5438
Mailing Address
7412 S YALE AVE TULSA, OK 74136
Mailing Phone
(918) 523-5437
Mailing Fax
(918) 523-5438
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2013
Last Update Date
01-30-2014
Code Navigator

A pediatrician like Pediatric Specialists Of Tulsa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
21759
License State
OK
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACY M O'SULLIVAN MD

Authorized Official Title
OWNER
Authorized Official Phone
(918) 523-5437

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2059207
Facility Type
Physician Office
Certificate Effective Date
July 28, 2025
Certificate Expiration Date
July 27, 2027
Laboratory Director
LAUREN HAYES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Pediatric Specialists Of Tulsa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457796039, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 4 + 9 + 1 + 2 + 0 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457796039.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pediatrics
7412 S YALE AVE
TULSA, OK 74136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457796039, enumerated as an "organization" on May 08, 2013.

The provider is located at 7412 S YALE AVE TULSA, OK 74136 and the phone number is (918) 523-5437.

Pediatrics with taxonomy code 208000000X.