| NPI | 1265879175 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2013-05-31 |
| Last Updated | 2013-05-31 |
| Authorized Official | Carl Pfanstiel Owner Phone: 9182581955 |
| Mailing Address | 1220 N Elm Pl Broken Arrow, OK 74012-1616 United States Phone: (918) 258-1955 📍 View Map |
| Primary Practice Address | 1220 N Elm Pl Broken Arrow, OK 74012-1616 United States Phone: (918) 258-1955 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208000000X – Pediatrics | OK | 12938 |
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About NPI 1265879175
Broken Arrow Pediatrics, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265879175. The primary specialty listed is Pediatrics. The organization is located in Broken Arrow, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1265879175?
NPI 1265879175 belongs to Broken Arrow Pediatrics, Llc, a Pediatrics in Broken Arrow, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1265879175 active?
The current status of NPI 1265879175 in the NPPES registry is Active. The record was last updated on 2013-05-31.
What specialty is NPI 1265879175?
NPI 1265879175 is classified under the taxonomy Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1265879175?
You can verify NPI 1265879175 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1265879175?
The primary practice address on file for NPI 1265879175 is 1220 N Elm Pl, Broken Arrow, OK 74012-1616. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1265879175 issued?
NPI 1265879175 was first issued (enumerated) on 2013-05-31. The NPPES record was last updated on 2013-05-31.
Practice Location Map
Broken Arrow Pediatrics, Llc is located at 1220 N Elm Pl, Broken Arrow, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Broken Arrow Pediatrics, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1265879175. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 12938 | OK |