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

Tulsa Pediatric and Adolescent Medicine, PC

Organization Pediatrics Physician · NPI 1215975883

Tulsa Pediatric and Adolescent Medicine, PC is a Pediatrics Physician in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 S Wheeling Ave Ste 304
Tulsa, OK 74104-5638
Phone: (918) 748-7620
Fax: (918) 748-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1215975883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Gist — President · (918) 748-7620
NPI enumeratedJune 3, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1919 S Wheeling Ave, Suite 304, Tulsa, OK 74104-5638

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