Active NPI 1457348344 Individual Practitioner Female Practitioner

Dr. Stacy O'sullivan , MD

Pediatrics • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Dr. Stacy O'Sullivan, MD is a registered healthcare professional specializing in Pediatrics in Tulsa, OK. Practice services are available at 7412 S YALE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7412 S Yale Ave

Tulsa, OK 741367029

Telephone 9185235437

Fax 9185235438

Associated Practice Facility / Clinic

🏢 Pediatric Specialists Of Tulsa Facility NPI 1457796039

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tulsa, OK

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.8 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

164 Specialists

Practicing in Tulsa, OK (730 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 21759

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100091570A (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Uyen Le , MD

Pediatrics

NPI 1790728111

Doctor of Medicine (M.D.)

Candace Joiner , ARNP

Nurse Practitioner - Pediatrics

NPI 1912937954

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2014

Registered at 7412 S YALE AVE, TULSA, OK 741367029 (Tel: 9185235437)

📍

Updated Business Mailing Address January 30, 2014

Registered at 8086 S YALE AVE # 258, TULSA, OK 741369003 (Tel: 9185235437)

👤

Provider Name / Credentials Updated January 30, 2014

Recorded as STACY O'SULLIVAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2014

Pediatrics (License #21759 in OK)

🟢

Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457348344

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 05, 2005

Last Update: January 30, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8086 S Yale Ave # 258

Tulsa, OK 741369003

Phone: 9185235437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.