OSUMC PROFESSIONAL SERVICES LLC NPI 1922325992

NPI Information

NPI: 1922325992
Provider Name: OSUMC PROFESSIONAL SERVICES LLC
Classification: Clinic/Center - 261QM2500X
Specialization: Medical Specialty
Entity Type: Organization
Doing Business As: OSU MEDICAL GROUP
Address: 9645 RIVERSIDE PKWY STE C
TULSA, OK
ZIP 74137
Phone: (918) 209-5710

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NPI Details

OSUMC PROFESSIONAL SERVICES LLC 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). OSUMC PROFESSIONAL SERVICES LLC NPI is 1922325992. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Osu Medical Group.

The provider's business location address is:

9645 RIVERSIDE PKWY STE C
TULSA, OK
ZIP 74137-427
Phone: (918) 209-5710
Fax: (918) 209-5187

The provider's authorized official is Eric Atkinson .
The authorized official title is Ceo and has the following contact phone number (918) 599-5000.

The enumeration date for this NPI number is 4/29/2010 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	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	No
2	207Q00000X	Family Medicine		No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
4	207RN0300X	Internal Medicine	Nephrology	No
5	207RP1001X	Internal Medicine	Pulmonary Disease	No
6	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
7	2086S0122X	Surgery	Plastic and Reconstructive Surgery	No
8	261QM2500X	Clinic/Center	Medical Specialty	Yes
9	363A00000X	Physician Assistant		No
10	363L00000X	Nurse Practitioner		No
11	364S00000X	Clinical Nurse Specialist		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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200308130A	MEDICAID	OKLAHOMA

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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