MEDICARE: SUNRISE PEDIATRICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1871483883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNRISE PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	PO BOX 720094
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73070-4072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 MAGNOLIA COURT
Second Line	:	STE 102
City	:	MOORE
State	:	OK
Zip	:	73160-1433
Country	:	US
Telephone Number	:	405-759-4155
Fax Number	:	855-538-3095

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA LOWRY
Credential	:	APRN
Telephone Number	:	405-759-4155

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	12/19/2025

Similar Medicare Providers

1174290431 — DENI FOUGHTY PH.D PLLC
Practice Location Address:

1201 MAGNOLIA CT STE 117
MOORE, OK
73160-1433

Practice Phone: 405-309-1345
Practice Fax: 866-394-8572

1194145854 — DR. LATOSHA RAMOS LAKE PSYD
Practice Location Address:

1201 MAGNOLIA CT STE 117
MOORE, OK
73160-1433

Practice Phone: 405-309-1345
Practice Fax: 866-394-8572

1275622458 — AMANDA LOWRY ARNP
Practice Location Address:

1201 MAGNOLIA CT STE 101
MOORE, OK
73160-1433

Practice Phone: 405-857-7681
Practice Fax: 888-498-3708

1376848689 — LAURA BETH SHAO PA-C
Practice Location Address:

1201 MAGNOLIA CT STE 109
MOORE, OK
73160-1433

Practice Phone: 405-759-4155
Practice Fax: 855-538-3095

1609165281 — KELLI J JONES APRN
Practice Location Address:

1201 MAGNOLIA CT STE 101
MOORE, OK
73160-1433

Practice Phone: 405-857-7681
Practice Fax:

1306304191 — DR. DENI FOUGHTY PHD
Practice Location Address:

1201 MAGNOLIA CT STE 117
MOORE, OK
73160-1433

Practice Phone: 405-221-9573
Practice Fax: 866-394-8572

Directions to “SUNRISE PEDIATRICS PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.