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

Active since July 20, 2006
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: August 16, 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 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
Phone(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
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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

Other Providers at the Same Location NPPES 12

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

MRS. RACHEL ANN EVANS APRN
Nurse Practitioner (Family)
12455 E 100TH ST N
OWASSO, OK 74055
Tulsa County (405) 757-7818
DR. IAN P GOODMAN M.D.
Orthopaedic Surgery
12455 E 100TH ST N
OWASSO, OK 74055
Tulsa County (918) 272-9464
ROGER K PFEIFFER D.O.
Obstetrics & Gynecology (Gynecologic Oncology)
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-5555
CALEB NUNLEY M.D.
Family Medicine (Sports Medicine)
12455 E 100TH ST N, STE. 120
OWASSO, OK 74055
Tulsa County (918) 272-9464
KIMBERLY A SORENSEN D.O.
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-1555
DR. KYLE CHARLES BENNETT
Optometrist
12455 E 100TH ST N, SUITE 110
OWASSO, OK 74055
Tulsa County (918) 274-7100
DR. CHARLES DENNIS KNIFE CHIEF M.D.
Obstetrics & Gynecology
12455 E 100TH ST N, STE 220
OWASSO, OK 74055
Tulsa County (918) 274-5555
CYNTHIA MALOY M.D.
Family Medicine
12455 E 100TH ST N, SUITE 120
OWASSO, OK 74055
Tulsa County (918) 274-5510

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 Owasso Pediatric And Adolescent Medicine, P.L.C.'s NPI number?

The NPI number for Owasso Pediatric And Adolescent Medicine, P.L.C. is 1982624292. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Owasso Pediatric And Adolescent Medicine, P.L.C. located?

Owasso Pediatric And Adolescent Medicine, P.L.C. is located at 12455 E 100th St N Suite 280, Owasso, OK 74055. The listed phone number is (918) 274-9700.

What is Owasso Pediatric And Adolescent Medicine, P.L.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Owasso Pediatric And Adolescent Medicine, P.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.