OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.
NPI 1982624292
Pediatrics - Adolescent Medicine in Owasso, OK

Active since July 20, 2006CLIA 37D1058762 · Waiver
12455 E 100TH ST N, SUITE 280, OWASSO, OK 74055(918) 274-9700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Owasso Pediatric And Adolescent Medicine, P.l.c. NPPES

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

OWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C. (NPI 1982624292) is a healthcare organization registered as an adolescent medicine in Owasso, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Aaron Henley, Physician, as its authorized official.

NPPES Registry Identity

NPI1982624292
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameOWASSO PEDIATRIC AND ADOLESCENT MEDICINE, P.L.C.
Location Address12455 E 100TH ST N, SUITE 280Owasso, OK 74055-4600
Mailing Address12455 E 100th St N, Suite 280Owasso, OK 74055-4600 · (918) 274-9700
Organization SubpartNo
Authorized OfficialAaron HenleyPhysician · (918) 274-9700
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1982624292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

12455 E 100TH ST N, Owasso, OK 74055

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 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
37D1058762
Facility Type
Physician Office
Certificate Effective Date
September 15, 2024
Certificate Expiration Date
September 14, 2026
Laboratory Director
BRIAN MCDOWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Owasso Pediatric And Adolescent Medicine, P.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Orthopaedic Surgery
12455 E 100TH ST N, SUITE 260
OWASSO, OK 74055
Family Medicine
12455 E 100TH ST N, SUITE 120
OWASSO, OK 74055
Pediatrics
12455 E 100TH ST N, SUITE 280
OWASSO, OK 74055
Optometrist
12455 E 100TH ST N, SUITE 110
OWASSO, OK 74055
Optometrist
12455 E 100TH ST N, SUITE 110
OWASSO, OK 74055
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Obstetrics & Gynecology (Gynecologic Oncology)
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Family Medicine
12455 E 100TH ST N, SUITE 120
OWASSO, OK 74055
Family Medicine (Sports Medicine)
12455 E 100TH ST N, STE. 120
OWASSO, OK 74055
Orthopaedic Surgery
12455 E 100TH ST N
OWASSO, OK 74055
Physician Assistant
12455 E 100TH ST N
OWASSO, OK 74055
Nurse Practitioner (Family)
12455 E 100TH ST N
OWASSO, OK 74055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982624292, enumerated as an "organization" on July 20, 2006.

The provider is located at 12455 E 100TH ST N SUITE 280 OWASSO, OK 74055 and the phone number is (918) 274-9700.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.