OrganizationActive
South Pointe Pediatrics, PLLC
NPI 1235399122 · Pediatric Adolescent Medicine Physician · Broken Arrow, OK
Provider details
- NPI number
- 1235399122
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Sullivan, Owner(918) 254-6822
- License
- 23824 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1615 S Eucalyptus Ave
Suite 210
Broken Arrow, OK 74012-6159
Phone: (918) 254-6822
Fax: (918) 254-6823
Street-level locationGet directions
Mailing address
1615 S Eucalyptus Ave
Broken Arrow, OK 74012-6159
Registry dates
- Enumerated
- 2008-06-13
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.