OKLAHOMA STATE UNIVERSITY NPI 1316437494

NPI Information

  • NPI: 1316437494
  • Provider Name: OKLAHOMA STATE UNIVERSITY
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: OSU PHYSICIANS SOUTH TULSA OBGYN
  • Address: 6126 E 61ST ST
    TULSA, OK
    ZIP 74136
  • Phone: (918) 294-3430

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NPI Details

OKLAHOMA STATE UNIVERSITY is a medical specialty clinic center in Tulsa, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). OKLAHOMA STATE UNIVERSITY NPI is 1316437494. The provider is registered as an organization entity type.
The provider Is Doing Business As Osu Physicians South Tulsa Obgyn.

The provider's business location address is:

6126 E 61ST ST
TULSA, OK
ZIP 74136-117
Phone: (918) 294-3430
Fax: (918) 294-3910

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

The enumeration date for this NPI number is 5/15/2018 and was last updated on 10/28/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/21/2025

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