IndividualActive
Joel Gist, M.D.
NPI 1770680423 · Pediatric Adolescent Medicine Physician · Tulsa, OK
Provider details
- NPI number
- 1770680423
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8249 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1919 S Wheeling Ave
Suite 304
Tulsa, OK 74104-5638
Phone: (918) 748-7620
Fax: (918) 748-7647
Approximate (ZIP-level) locationGet directions
Mailing address
6425 S Oswego Ave
Tulsa, OK 74136-1512
Registry dates
- Enumerated
- 2006-09-17
- Last updated
- 2011-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.