NEWBORN SPECIALISTS OF TULSA, PC (NPI# 1235403023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235403023 |
| Entity Type | Organization |
| Organization Name | NEWBORN SPECIALISTS OF TULSA, PC |
| Other Organization Name | NEXT STEP DEVELOPMENTAL CLINIC |
| Practice Address |
1805 E 15th St Tulsa OK 74104-4610 |
| Mailing Address |
Po Box 700930 Tulsa OK 74170-0930 |
| Practice Telephone | 9185795402 |
| Practice Fax Number | 9185795404 |
| Mailing Telephone | 9185795402 |
| Mailing Fax Number | 9185795404 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MS. ROSE WYRICK (ADMINISTRATOR) |
| Authorized Official Telephone | 9185795402 |
| Authorized Official Credential | CAPPM |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWBORN SPECIALISTS OF TULSA, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Next Step Developmental Clinic | Doing Business As Name - Organization |
| Street Address |
1805 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982881686 | Jennifer Gibbens Md Pllc | Obstetrics & Gynecology | 1805 E 15th St, Tulsa, OK 74104-4610 | 2008-01-24 |
| 1194297341 | Landmark Recovery Outpatient Services, LLC | Clinic/Center | 1805 E 15th St, Tulsa, OK 74104-4610 | 2018-12-28 |
| 1558796508 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Psychologist | 1805 E 15th St, Tulsa, OK 74104-4610 | 2013-09-10 |
| 1154689743 | Osu Center for Health Sciences | Clinic/Center | 1805 E 15th St, Tulsa, OK 74104-4610 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| 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 |
|---|---|---|---|---|
| 1033562202 | Behavioral Pediatrics of Tulsa Plc | Pediatrics | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2016-07-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.