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PEDIATRIC CARE OF SAPULPA NPI 1568826725


NPI Information

NPI: 1568826725
Provider Name: PEDIATRIC CARE OF SAPULPA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 37D2112202

Address:
615 S MISSION ST
SAPULPA, OK
ZIP 74066
Phone: (918) 745-0800
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PEDIATRIC CARE OF SAPULPA is a pediatrics in Sapulpa, OK. The provider is 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. PEDIATRIC CARE OF SAPULPA NPI is 1568826725. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 S MISSION ST
SAPULPA, OK
ZIP 74066-635
Phone: (918) 745-0800
Fax: (918) 745-0028

The provider's authorized official is Ryan Mccracken .
The authorized official title is President and has the following contact phone number (918) 745-0800.

The CLIA number assigned to this NPI record is 37D2112202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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