CHILDREN & ADOLESCENT MEDICAL SERVICES INC. (NPI# 1780789362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780789362 |
| Entity Type | Organization |
| Organization Name | CHILDREN & ADOLESCENT MEDICAL SERVICES INC. |
| Practice Address |
8803 S. 101st E. Ave. Suite 200 Tulsa OK 74133 |
| Practice Telephone | 9183072273 |
| Practice Fax Number | 9183070273 |
| Mailing Telephone | 9183072273 |
| Mailing Fax Number | 9183070273 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | JANELL P CYRUS (PRACTICE MANAGER) |
| Authorized Official Telephone | 9183072273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100733310A | 05 | |
| OK | 200115550A | 05 | |
| OK | 100100600D | 05 |
| Street Address |
8803 S. 101ST E. AVE. SUITE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366791857 | Osu Center for Health Sciences | Clinic/Center | 8803 S. 101st E. Ave., Suite 165, Tulsa, OK 74133-5750 | 2012-08-30 |
| 1871686428 | Southbrook Family Physicians Pllc | Family Medicine | 8803 S. 101st E. Ave., Suite #130, Tulsa, OK 74133-5728 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| 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. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1356544951 | Kristin Diane Conkling | Pediatrics | 5125 E 107th Pl, Tulsa, OK 74137-7236 | 2007-06-09 |
| 1922038348 | Paul Andrew Scott Benson | Pediatrics | 4444 E. 41st Street, 2nd Floor, Ou Physicians -- Pediatrics, Tulsa, OK 74135 | 2006-07-03 |
| 1285891945 | Kids Pediatric and Adolescent Care | Pediatrics | 7711 E 111th St, Suite 111, Tulsa, OK 74133-2570 | 2008-05-20 |
| 1073641395 | Lamiaa Hassan Ali | Pediatrics | 4444 E 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2007-02-28 |
| 1144327800 | Hugh C Graham | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| 1033216791 | Donna J Krutka | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| 1770680423 | Joel K Gist | Pediatrics | 1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638 | 2006-09-17 |
| 1306800362 | Scott Samuel Cyrus | Pediatrics | 8803 S 101st East Ave, Ste 200, Tulsa, OK 74133-5726 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504037 | Miguel Antonio Camacho-garrido | Pediatrics | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2006-07-22 |
| 1497788624 | Shelley Ann Bohn | Pediatrics | 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 | 2006-07-09 |
| 1235128430 | Elizabeth Gail Lewis | Pediatrics | 2701 Sw Cornell Ave, Lawton, OK 73505-7121 | 2005-10-19 |
| 1871581470 | Charles R Mettry | Pediatrics | 201 N Monte Vista St, Suite B, Ada, OK 74820-7200 | 2005-10-10 |
| 1578568010 | Julie Gail Sullivan | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2005-06-20 |
| 1902446917 | Chelsea Ryan Walker | Pediatrics | 12455 E 100th St N Ste 300, Owasso, OK 74055-4678 | 2020-01-08 |
| 1609005842 | Ahmad Pediatrics | Pediatrics | 302 E Downing St, Tahlequah, OK 74464-3014 | 2009-07-09 |
| 1235399122 | South Pointe Pediatrics, Pllc | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2008-06-13 |
| 1235207515 | Southwest Pediatrics, Pllc | Pediatrics | 937 Sw 89th St, Suite A, Oklahoma City, OK 73139-9231 | 2006-12-02 |
| 1053486431 | Northern Oklahoma Regional Pediatric Clinic, Pllc | Pediatrics | 415 Fairview Ave, Ste. 100, Ponca City, OK 74601-1923 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHILDREN & ADOLESCENT MEDICAL SERVICES INC..
| 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.