PEDIATRIC SURGERY INC. NPI 1790700649

NPI Information

  • NPI: 1790700649
  • Provider Name: PEDIATRIC SURGERY, INC.
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Organization
  • CLIA Number: 37D2059207
  • Address: 6151 S YALE AVE
    SUITE 305
    TULSA, OK
    ZIP 74136
  • Phone: (918) 494-9494

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NPI Details

PEDIATRIC SURGERY, INC. is a pediatric surgery surgery in Tulsa, OK. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGERY, INC. NPI is 1790700649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6151 S YALE AVE
SUITE 305
TULSA, OK
ZIP 74136-907
Phone: (918) 494-9494
Fax: (918) 494-9459

The provider's authorized official is Richard D Ranne .
The authorized official title is President and has the following contact phone number (918) 494-9494.

The CLIA number assigned to this NPI record is 37D2059207 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryYes

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: 11/21/2025

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