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EMPOWER PEDIATRICS NPI 1407390115


NPI Information

NPI: 1407390115
Provider Name: EMPOWER PEDIATRICS

Doing Business As: RIVERSIDE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 37D1007501

Address:
9659 RIVERSIDE PKWY
TULSA, OK
ZIP 74137
Phone: (918) 299-5040
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EMPOWER PEDIATRICS is a pediatrics in Tulsa, OK. The provider is 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. EMPOWER PEDIATRICS NPI is 1407390115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Pediatrics.

The provider's business location address is:

9659 RIVERSIDE PKWY
TULSA, OK
ZIP 74137-398
Phone: (918) 299-5040
Fax: (918) 299-9041

The provider's authorized official is Jennifer C. Wolf .
The authorized official title is Md/physician and has the following contact phone number (918) 299-5040.

The CLIA number assigned to this NPI record is 37D1007501 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics20296OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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