Pediatrics, Adolescent Medicine
NORTHERN OKLAHOMA REGIONAL PEDIATRIC CLINIC, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1053486431 · enumerated 2006-11-21 · record updated 2017-05-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Ms. CHRIS POLLAK, ADMINISTRATOR · (580) 765-5569
Addresses and phones
- Mailing address 415 FAIRVIEW AVE, STE. 100, PONCA CITY, OK, 74601-1923 (580) 765-5569 Fax (580) 765-2020 Google Maps Apple Maps OpenStreetMap
- Practice location 415 FAIRVIEW AVE, STE. 100, PONCA CITY, OK, 74601-1923 (580) 765-5569 Fax (580) 765-2020 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary
In this directory
Locations and evidence
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Practice location
PONCA CITY, OK, 746011923
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.