Ada Pediatric Clinic

LBN: Ada Pediatric Clinic
Ada Pediatric Clinic is an health care organization with primary practice located at 1414 Arlington St Suite 1700, Ada OK 74820-2646. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Ada Pediatric Clinic can be contacted via phone (580) 332-7337, or through Weesner, Ruth via phone (580) 332-7337.

Contact Information

Primary practice address
1414 Arlington St Suite 1700 Ada OK 74820-2646
Phone: (580) 332-7337
Fax: (580) 332-3881
Website:
Map and Directions
Authorized official contact:
Name: Weesner, Ruth Doctor of Medicine (MD)
Phone: (580) 332-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16267 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0065815 Oklahoma

Profile Details

NPI number 1255671806
LBN Legal business name Ada Pediatric Clinic
DBA Doing business as
Authorized official Weesner, Ruth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2013
Last updated Feb 19th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255671806 NPPES
Oklahoma MEDICAID 100130860B
Oklahoma MEDICAID 200055950A

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