BEHAVIORAL PEDIATRICS OF TULSA PLC (NPI# 1033562202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033562202 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL PEDIATRICS OF TULSA PLC |
| Practice Address |
5110 S Yale Ave Suite 103 Tulsa OK 74135-7401 |
| Practice Telephone | 9182309845 |
| Mailing Telephone | 9182309845 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | DONALD R HAMILTON (PRESIDENT) |
| Authorized Official Telephone | 9182309845 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
13868 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
5110 S YALE AVE SUITE 103 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-7401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285607663 | Donald Ray Hamilton | Pediatrics | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2006-02-08 |
| 1336687193 | Osu Center for Health Sciences | Clinic/Center | 5110 S Yale Ave, #103, Tulsa, OK 74135-7401 | 2017-02-01 |
| 1669855367 | Elizabeth Ann Weber | Speech-Language Pathologist | 5110 S Yale Ave, Suite 102, Tulsa, OK 74135-7401 | 2015-06-30 |
| 1689015232 | Dana Ann Eddy | Speech-Language Pathologist | 5110 S Yale Ave, Suite 102, Tulsa, OK 74135-7401 | 2013-07-11 |
| 1023453784 | Crystal L Fairfield | Speech-Language Pathologist | 5110 S Yale Ave, #102, Tulsa, OK 74135-7401 | 2013-05-07 |
| 1467727107 | Jena L Fisher | Speech-Language Pathologist | 5110 S Yale Ave, Tulsa, OK 74135-7401 | 2012-03-13 |
| 1588936512 | Sarah Alison Jones | Psychologist | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2012-02-07 |
| 1295007508 | Christopher Daniel Hogue | Psychologist | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2012-02-01 |
| 1215209606 | Edith A. Lamay | Psychologist | 5110 S Yale Ave, Ste 103, Tulsa, OK 74135-7401 | 2012-02-01 |
| 1790057362 | Lincoln Lim | Student in an Organized Health Care Education/Training Program | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2012-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
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| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235403023 | Newborn Specialists of Tulsa, PC | Pediatrics | 1805 E 15th St, Tulsa, OK 74104-4610 | 2012-02-27 |
| 1639282270 | Jane Scott | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| 1912010570 | Cynthia J. Fuller | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| 1467478800 | Laura Kathleen Taylor | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2006-07-15 |
| 1194750240 | James Coldwell | Pediatrics | 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 | 2006-07-11 |
| 1457389454 | Deborah Noble Baird | Pediatrics | 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 | 2006-06-29 |
| 1134163942 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336796242 | Foundations Therapy, Pllc | Pediatrics | 3905 N Harrison St, Shawnee, OK 74804-1426 | 2019-08-25 |
| 1285797910 | Willienell H Bryant-pitts | Pediatrics | 216 N Murray St, Helena, OK 73741-1017 | 2006-12-17 |
| 1336194307 | Laurie Ann Kukas | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 | 2006-05-24 |
| 1639783012 | Relfections Behavioral Health | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-09-03 |
| 1083231724 | Broken Arrow Pediatric Behavioral Health LLC | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-06-29 |
| 1154695278 | Sanford World Clinics | Pediatrics | 2502 W Elk Ave, Duncan, OK 73533-1562 | 2012-03-07 |
| 1154632610 | Laurie A. Kukas, D. O. Faap | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 | 2010-06-29 |
| 1760544068 | Daryl Leroy Scurry | Pediatrics | 1515 Ne Lawrie Tatum Rd, Lawton Indian Hospital, Lawton, OK 73507-3002 | 2006-12-14 |
| 1962470211 | Mark L Wolraich | Pediatrics | 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 | 2006-03-12 |
| 1740258052 | Loy Donna Markland | Pediatrics | 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 | 2006-03-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.