Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tulsa Pediatric and Adolescent Medicine, PC

Organization Pediatrics Physician · NPI 1215975883

Tulsa Pediatric and Adolescent Medicine, PC provides Pediatrics Physician services in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 S Wheeling Ave Ste 304
Tulsa, OK 74104-5638
Phone: (918) 748-7620
Fax: (918) 748-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1215975883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Gist — President · (918) 748-7620
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638

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