South Pointe Pediatrics, Pllc in Broken Arrow - Adolescent Medicine
South Pointe Pediatrics, Pllc - NPI 1235399122
South Pointe Pediatrics, Pllc is a Adolescent Medicine in Broken Arrow, Oklahoma. South Pointe Pediatrics, Pllc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for South Pointe Pediatrics, Pllc is 1235399122. The last update date is 2017-01-10.
South Pointe Pediatrics, Pllc's current location address is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182546822 and fax number 9182546823. The mailing address for South Pointe Pediatrics, Pllc is 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Pointe Pediatrics, Pllc |
|---|---|
| Address | 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Phone Number | 9182546822 |
| Fax Number | 9182546823 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sullivan G Julie |
| Credentials | M.D. |
| Telephone Number | 9182546822 |
NPI Number Detail
| NPI Number | 1235399122 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2017-01-10 |
Provider Mailing Address Detail
| Address | 1615 S Eucalyptus Ave |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740126159 |
| Phone Number | 9182546822 |
| Fax Number | 9182546823 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 23824 |
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Definition: 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. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Pointe Pediatrics, Pllc by the Centers for Medicare & Medicaid Services?
The South Pointe Pediatrics, Pllc has been assigned the NPI (National Provider Identifier) 1235399122 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where South Pointe Pediatrics, Pllc is geographically located?
The South Pointe Pediatrics, Pllc is physically situated at the following location: 1615 S Eucalyptus Ave, Broken Arrow, OK, 740126159.
What is South Pointe Pediatrics, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Pointe Pediatrics, Pllc's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235399122 to South Pointe Pediatrics, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1235399122 to South Pointe Pediatrics, Pllc on 2008-06-13.
As of what date was the information regarding South Pointe Pediatrics, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Pointe Pediatrics, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-10.