OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST (NPI# 1013158476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013158476 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST |
| Other Organization Name | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER |
| Practice Address |
744 W 9th St Tulsa OK 74127-9020 |
| Practice Telephone | 9185872561 |
| Practice Fax Number | 9185991750 |
| Mailing Telephone | 9185872561 |
| Mailing Fax Number | 9185991750 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | MR. ROBERT POE (CHAIRMAN AND TRUSTEE) |
| Authorized Official Telephone | 9187496873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oklahoma State University Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477813707 | Oklahoma State University Medical Center Trust | Psychiatric Unit | 744 W 9th St, Tulsa, OK 74127-9020 | 2012-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST | *********, ** ****** |
| Street Address |
744 W 9TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914456 | Judith Wolfstein | Specialist | 744 W 9th St, Tulsa, OK 74127-9020 | 2005-06-30 |
| 1053924118 | Zachary Dunn | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-08-28 |
| 1104449370 | Laura Ann Holliday | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-22 |
| 1033732623 | Ashlyn Renee Terrell | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-18 |
| 1366061780 | Joshua M Day | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-15 |
| 1639798150 | Nathan Nelson | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1801415328 | Jake Xavier Checketts | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1780203505 | Coy Yasler | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-11 |
| 1548889553 | Lacy Shireen Brame | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-09 |
| 1659900421 | Heath Spencer | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1912211475 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 245, Tulsa, OK 74133-5730 | 2010-07-27 |
| 1295059400 | Care Clinic | Clinic/Center | 3528 N Lansing Ave, Tulsa, OK 74106-1939 | 2010-03-16 |
| 1558559468 | Douglas M. Vaughn, D.o., P.C. | Clinic/Center | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2007-10-05 |
| 1881753358 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-08 |
| 1114092012 | Osu Center for Health Sciences | Clinic/Center | 9001 S 101 E Ave, Suite 300, Tulsa, OK 74133 | 2006-11-24 |
| 1225102866 | Osu Center for Health Sciences | Clinic/Center | 4500 S Garnett Rd Ste 919, Tulsa, OK 74146-5229 | 2006-11-17 |
| 1982777637 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 500, Tulsa, OK 74127-9060 | 2006-11-17 |
| 1467526046 | Osu Center for Health Sciences | Clinic/Center | 4444 S Harvard Ave Ste 100, Tulsa, OK 74135-2611 | 2006-11-17 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.