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BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA NPI 1194844936


NPI Information

NPI: 1194844936
Provider Name: BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA

Doing Business As: OU PHYSICIANS TULSA WAYMAN TISDALE CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
591 E 36TH ST N
TULSA, OK
ZIP 74106
Phone: (918) 619-8700
Get Directions

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA is a pediatrics in Tulsa, OK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA NPI is 1194844936. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ou Physicians Tulsa Wayman Tisdale Clinic.

The provider's business location address is:

591 E 36TH ST N
TULSA, OK
ZIP 74106-812
Phone: (918) 619-8700
Fax: (918) 634-7884

The provider's authorized official is Jonathan Joiner .
The authorized official title is Coo Ou Physicians Tulsa and has the following contact phone number (918) 660-3081.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100745000UMEDICAIDOKLAHOMA
2800522321MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMAMEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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