Northern Oklahoma Regional Pediatric Clinic, PLLC
NPI 1053486431 · Pediatric Adolescent Medicine Physician · Ponca City, OK
Northern Oklahoma Regional Pediatric Clinic, PLLC is a Pediatric Adolescent Medicine Physician organization in Ponca City, OK (NPI 1053486431).
Provider details
- NPI number
- 1053486431
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chris Pollak, Administrator(580) 765-5569
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2017-05-12
Frequently asked questions
- What is Northern Oklahoma Regional Pediatric Clinic, PLLC's NPI number?
- Northern Oklahoma Regional Pediatric Clinic, PLLC's National Provider Identifier (NPI) is 1053486431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Oklahoma Regional Pediatric Clinic, PLLC?
- Northern Oklahoma Regional Pediatric Clinic, PLLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northern Oklahoma Regional Pediatric Clinic, PLLC located?
- Northern Oklahoma Regional Pediatric Clinic, PLLC's practice location on file with NPPES is 415 Fairview Ave, Ponca City, OK 74601-1923.
- What is Northern Oklahoma Regional Pediatric Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northern Oklahoma Regional Pediatric Clinic, PLLC is (580) 765-5569.
- Who is the authorized official for Northern Oklahoma Regional Pediatric Clinic, PLLC?
- The authorized official listed on Northern Oklahoma Regional Pediatric Clinic, PLLC's NPPES record is Chris Pollak, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Oklahoma Regional Pediatric Clinic, PLLC's NPI active?
- Yes — Northern Oklahoma Regional Pediatric Clinic, PLLC's NPI (1053486431) is active in the NPPES registry as of the last update on 2017-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.