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OKLAHOMA STATE UNIVERSITY NPI 1306882261


NPI Information

NPI: 1306882261
Provider Name: OKLAHOMA STATE UNIVERSITY

Doing Business As: OSU PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D2000059

Address:
2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107
Phone: (918) 561-5701
Get Directions

OKLAHOMA STATE UNIVERSITY is a family medicine in Tulsa, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OKLAHOMA STATE UNIVERSITY NPI is 1306882261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Osu Physicians.

The provider's business location address is:

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107-705
Phone: (918) 561-5701
Fax: (918) 585-9273

The provider's authorized official is Eric John Polak .
The authorized official title is Vp/cfo and has the following contact phone number (918) 561-8422.

The CLIA number assigned to this NPI record is 37D2000059 - other - mobile rural health clnc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 4/12/2024.


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
1204D00000XNeuromusculoskeletal Medicine & OMMNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineYes
4207R00000XInternal MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207V00000XObstetrics & GynecologyNo
8208000000XPediatricsNo
92084A0401XPsychiatry & NeurologyAddiction MedicineNo
102084N0400XPsychiatry & NeurologyNeurologyNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No

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
1100757080AMEDICAIDOKLAHOMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.