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PEDIATRIC SPECIALISTS OF TULSA
NPI 1457796039
Pediatrics in Tulsa, OK

Active since May 08, 2013CLIA 37D2059207 · Certificate of Compliance
7412 S YALE AVE, TULSA, OK 74136(918) 523-5437(918) 523-5438 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Specialists Of Tulsa NPPES

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

PEDIATRIC SPECIALISTS OF TULSA (NPI 1457796039) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since May 2013. The organization holds a CLIA Certificate of Compliance certificate valid through July 27, 2027 and lists Stacy M O'sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1457796039
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC SPECIALISTS OF TULSA
Location Address7412 S YALE AVETulsa, OK 74136-7029
Mailing Address7412 S Yale AveTulsa, OK 74136-7029 · (918) 523-5437 · Fax (918) 523-5438
Phone(918) 523-5437
Fax(918) 523-5438
Organization SubpartNo
Authorized OfficialStacy M O'sullivanOwner · (918) 523-5437
Enumeration DateMay 8, 2013
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1457796039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 21759
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.
7412 S YALE AVE, Tulsa, OK 74136
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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

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 Compliance 37D2059207

Pediatric Specialists Of Tulsa · Tulsa, OK
Active · expires Jul 27, 2027
CLIA Number37D2059207
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorLauren Hayes
Laboratory Phone(918) 523-5437
Laboratory LocationPediatric Specialists Of Tulsa7412 S Yale, Tulsa, OK 74136
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. STACY O'SULLIVAN M.D.
Pediatrics
7412 S YALE AVE
TULSA, OK 74136
Tulsa County (918) 523-5437

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 Pediatric Specialists Of Tulsa's NPI number?

The NPI number for Pediatric Specialists Of Tulsa is 1457796039. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Pediatric Specialists Of Tulsa located?

Pediatric Specialists Of Tulsa is located at 7412 S Yale Ave, Tulsa, OK 74136. The listed phone number is (918) 523-5437.

What is Pediatric Specialists Of Tulsa's specialty?

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

Does Pediatric Specialists Of Tulsa hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D2059207) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Specialists Of Tulsa was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.