Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pedistat, PLLC

Organization Pediatrics Physician · NPI 1639515471

Pedistat, PLLC is a Pediatrics Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4710 E 51st St
Tulsa, OK 74135-3704
Phone: (918) 928-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence 21053 (OK)
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1639515471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Warlick — Medical Director · (918) 928-7828
Other names Pedistat
NPI enumeratedMay 20, 2013
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address4710 E 51st St, Tulsa, OK 74135-3704

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