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TULSA PEDIATRIC GROUP, PC
NPI 1891826368
Pediatrics in Tulsa, OK

Active since March 08, 2007CLIA 37D0474494 · Waiver
6465 S YALE AVE STE 715, TULSA, OK 74136(918) 481-4750(918) 481-4755 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tulsa Pediatric Group, Pc NPPES

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

TULSA PEDIATRIC GROUP, PC (NPI 1891826368) is a healthcare organization registered as a pediatrics in Tulsa, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Kristin M Stevens, Owner, as its authorized official.

NPPES Registry Identity

NPI1891826368
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTULSA PEDIATRIC GROUP, PC
Location Address6465 S YALE AVE STE 715Tulsa, OK 74136-7809
Mailing Address6465 S Yale Ave Ste 715Tulsa, OK 74136-7809 · (918) 481-4750 · Fax (918) 481-4755
Phone(918) 481-4750
Fax(918) 481-4755
Organization SubpartNo
Authorized OfficialKristin M StevensOwner · (918) 481-4750
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1891826368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 9951
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.
6465 S YALE AVE STE 715, Tulsa, OK 74136
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Other Identifiers 1

Medicaid200087850AOK

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 Waiver 37D0474494

Tulsa Pediatric Group, PC · Tulsa, OK
Active · expires Dec 22, 2027
CLIA Number37D0474494
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorKristin M. Stevens
Laboratory Phone(918) 481-4750
Laboratory LocationTulsa Pediatric Group, PC6465 S Yale, Suite 310, Tulsa, OK 74136
CLIA data matches this NPI record on: 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 Tulsa Pediatric Group, PC's NPI number?

The NPI number for Tulsa Pediatric Group, PC is 1891826368. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Tulsa Pediatric Group, PC located?

Tulsa Pediatric Group, PC is located at 6465 S Yale Ave Ste 715, Tulsa, OK 74136. The listed phone number is (918) 481-4750.

What is Tulsa Pediatric Group, PC's specialty?

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

Does Tulsa Pediatric Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0474494) is associated with this NPI, valid through December 22, 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 Tulsa Pediatric Group, PC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.