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PREMIER PEDIATRIC AND ADOLESCENT CARE
NPI 1730560699
Clinic/Center in Muskogee, OK

Active since June 16, 2015CLIA 37D2094002 · Waiver
2009 N MAIN ST, MUSKOGEE, OK 74401(918) 816-4024(918) 816-4025 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Pediatric And Adolescent Care NPPES

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

PREMIER PEDIATRIC AND ADOLESCENT CARE (NPI 1730560699) is a healthcare organization registered as a clinic/center in Muskogee, Oklahoma and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Tracy Hoos, Owner, as its authorized official.

NPPES Registry Identity

NPI1730560699
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePREMIER PEDIATRIC AND ADOLESCENT CARE
Location Address2009 N MAIN STMuskogee, OK 74401
Mailing Address2009 N Main StMuskogee, OK 74401 · (918) 816-4024 · Fax (918) 816-4025
Phone(918) 816-4024
Fax(918) 816-4025
Organization SubpartNo
Authorized OfficialTracy HoosOwner · (918) 816-4024
Enumeration DateJune 16, 2015
✔ NPI 1730560699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2009 N MAIN ST, Muskogee, OK 74401
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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 37D2094002

Premier Pediatric And Adolescent Care · Muskogee, OK
Active · expires Nov 28, 2026
CLIA Number37D2094002
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorDr. Ryan T. Mundy
Laboratory Phone(918) 816-4024
Laboratory LocationPremier Pediatric And Adolescent Care2009 N Main St, Muskogee, OK 74401
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 4

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

OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
RYAN T MUNDY M.D.
Pediatrics
2009 N MAIN ST, PREMIER PEDIATRICS
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
AMY JONES APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
MISS ASHTON DEONE LINDSEY APRN-CNP
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024

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's NPI number?

The NPI number for Premier Pediatric And Adolescent Care is 1730560699. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Premier Pediatric And Adolescent Care located?

Premier Pediatric And Adolescent Care is located at 2009 N Main St, Muskogee, OK 74401. The listed phone number is (918) 816-4024.

What is Premier Pediatric And Adolescent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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

Yes. A Certificate of Waiver (number 37D2094002) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Pediatric And Adolescent Care 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 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 was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.