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Northern Oklahoma Regional Pediatric Clinic, Pllc

Pediatric Adolescent Medicine Physician in Ponca City, OK · enumerated 2006 · authorized official Chris Pollak, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053486431

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Oklahoma Regional Pediatric Clinic, Pllc
Practice address 415 Fairview Ave, Ste. 100, Ponca City, OK, 74601
Phone (580) 765-5569
Fax (580) 765-2020
Enumeration date Nov 21, 2006
Last updated in NPPES May 12, 2017

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Chris Pollak
Title Administrator
Phone (580) 765-5569

Other identifiers

Identifier Type State Issuer
100749170C Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-12. Verify at npiregistry.cms.hhs.gov.
Where is Northern Oklahoma Regional Pediatric Clinic, Pllc located?
The practice location on file with NPPES is in Ponca City, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-12.