PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA PEDIATRICS (NPI# 1356351027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356351027 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA PEDIATRICS |
| Other Organization Name | PPAEO PEDIATRICS |
| Practice Address |
205 E Pine St Ste 5 Tulsa OK 74106-4855 |
| Mailing Address |
4401 W 109th St Ste 200 Overland Park KS 66211-1303 |
| Practice Telephone | 9185871101 |
| Practice Fax Number | 9185927610 |
| Mailing Telephone | 8558417526 |
| Mailing Fax Number | 9185871101 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-08-22 |
| Authorized Official Name | VICTORIA PARKS (DIRECTOR HEALTH SERVICES OP) |
| Authorized Official Telephone | 9185874621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100728930F | 05 |
| Other Name | Type Code |
|---|---|
| PPAEO Pediatrics | Other Name - Individual/Organization |
| Street Address |
205 E PINE ST STE 5 |
| City | TULSA |
| State | OK |
| Zip Code | 74106-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265484158 | Planned Parenthood of Arkansas and Eastern Oklahoma Inc | Pharmacy | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2006-05-17 |
| 1497306047 | Brittney Kim | Nurse Practitioner | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2019-09-25 |
| 1265514178 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. | Obstetrics & Gynecology | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2006-10-19 |
| 1174611594 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc | Durable Medical Equipment & Medical Supplies | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2006-10-11 |
| 1306932538 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. | Clinic/Center | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2006-10-05 |
| 1174626154 | Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. | Clinic/Center | 205 E Pine St Ste 5, Tulsa, OK 74106-4855 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1346660834 | Amber Lee Shipman | Pediatrics | 3516 E 31st Street South, Suite B, Tulsa, OK 74135 | 2014-04-23 |
| 1811239569 | Sara Mcdonald | Pediatrics | 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 | 2013-03-20 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1588982219 | Mary Emlyn Garber Baird | Pediatrics | 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 | 2010-05-05 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
| Find all providers in TULSA | ||||
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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.