STACY O'SULLIVAN M.D. – NPI #1457348344
Pediatrics

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.

STACY O'SULLIVAN is a physician located in TULSA, OK. NPPES has assigned the NPI number 1457348344 to STACY O'SULLIVAN on October 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Jan 30, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACY O'SULLIVAN below.

NPI Profile for
STACY O'SULLIVAN

NPI Number
1457348344
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACY O'SULLIVAN
Credentials
M.D.
Primary location
7412 S YALE AVE
TULSA, OK 74136-7029
Phone: (918) 523-5437 Fax: (918) 523-5438
Mailing address
8086 S YALE AVE # 258
TULSA, OK 74136-9003
Phone: (918) 523-5437 Fax: (918) 523-5438
Sole Proprietor
No
Updated
Identifiers

Identifiers for STACY O'SULLIVAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK100091570A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
OK 21759

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.