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

South Pointe Pediatrics, PLLC

Organization Pediatric Adolescent Medicine Physician · NPI 1235399122

South Pointe Pediatrics, PLLC is a Pediatric Adolescent Medicine Physician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
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

1615 S Eucalyptus Ave Ste 210
Broken Arrow, OK 74012-6159
Phone: (918) 254-6822
Fax: (918) 254-6823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 23824 (OK)

Record details

NPI number1235399122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Sullivan — Owner · (918) 254-6822
NPI enumeratedJune 13, 2008
Last updated in NPPESJanuary 10, 2017
Mailing address1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159

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