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OOLOGAH PEDIATRIC CARE PLLC
NPI 1942067814
Nurse Practitioner - Pediatrics in Oologah, OK

Active since March 06, 2024
115 W. ATLAS AVE, OOLOGAH, OK 74053(469) 915-4211 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, May 8, 2024, Mar 6, 2024 (3 updates tracked since 2024).

About Oologah Pediatric Care Pllc NPPES

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

OOLOGAH PEDIATRIC CARE PLLC (NPI 1942067814), doing business as Central Pediatric Care, is a healthcare organization registered as a pediatrics in Oologah, Oklahoma and active in the NPI registry since March 2024. The organization lists Al Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1942067814
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameOOLOGAH PEDIATRIC CARE PLLC
Location Address115 W. ATLAS AVEOologah, OK 74053-3029
Mailing Address4458 Spruce StKiefer, OK 74041-3029 · (918) 519-7315
Phone(469) 915-4211
Organization SubpartNo
Authorized OfficialAl BerryManager · (469) 915-4211
Enumeration DateMarch 6, 2024
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1942067814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
115 W. ATLAS AVE, Oologah, OK 74053
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Other Names 1

Doing Business AsCentral Pediatric Care

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

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 Oologah Pediatric Care PLLC's NPI number?

The NPI number for Oologah Pediatric Care PLLC is 1942067814. It was assigned to this organization in the NPPES registry on March 6, 2024. The provider is doing business as Central Pediatric Care.

Where is Oologah Pediatric Care PLLC located?

Oologah Pediatric Care PLLC is located at 115 W. Atlas Ave, Oologah, OK 74053. The listed phone number is (469) 915-4211.

What is Oologah Pediatric Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Oologah Pediatric Care PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.