OSU CENTER FOR HEALTH SCIENCES (NPI# 1063012029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063012029 |
| Entity Type | Organization |
| Organization Name | OSU CENTER FOR HEALTH SCIENCES |
| Practice Address |
1401 E Van Buren Ave Mcalester OK 74501-4245 |
| Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 9185618306 |
| Practice Fax Number | 9185615747 |
| Mailing Telephone | 9185618306 |
| Mailing Fax Number | 9185615747 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | ERIC JOHN POLAK (VICE PRESIDENT FOR ADMIN/FINANCE) |
| Authorized Official Telephone | 9185618422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OSU-AJ BRADLEY CROSS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1447895586 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 | 2019-11-13 |
| 1952957995 | Osu Center for Health Sciences | Clinic/Center | 10507 E 91st St Ste 550, Tulsa, OK 74133-5590 | 2019-08-15 |
| 1942852694 | Osu Center for Health Sciences | Clinic/Center | 1201 W 6th Ave, Stillwater, OK 74074-4307 | 2019-07-12 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OSU CENTER FOR HEALTH SCIENCES | 1111 W 17th St, Tulsa, OK 74107-1886 |
| Street Address |
1401 E VAN BUREN AVE |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883261 | John Eric Raunikar | Internal Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2005-06-30 |
| 1720500945 | Tilak Raj Sharma | Internal Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2017-07-10 |
| 1932639572 | Bradley Eric Cross | Family Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2017-06-15 |
| 1184087066 | Osu Center for Health Sciences | Clinic/Center | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2016-03-30 |
| 1730562489 | Chelsea Berges | Family Medicine | 1401 E Van Buren Ave, Mcalester, OK 74501 | 2015-06-30 |
| 1568892438 | Wanda Jean Martin | Nurse Practitioner | 1401 E Van Buren Ave, Mcalester, OK 74501 | 2013-11-13 |
| 1912334871 | Osu Center for Health Sciences | Clinic/Center | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2013-10-08 |
| 1407129372 | Stephenie Renee Ingram | Nurse Practitioner | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2012-02-22 |
| 1063790681 | Kelly Roshelle Drusen | Nurse Practitioner | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2011-07-31 |
| 1689967739 | Lisa S Mogelnicki | Podiatrist | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1053925594 | Osu Center for Health Sciences | Clinic/Center | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2020-09-02 |
| 1184087066 | Osu Center for Health Sciences | Clinic/Center | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2016-03-30 |
| 1225420805 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd, Suite 210, Mcalester, OK 74501-4209 | 2015-02-19 |
| 1104215516 | Osu Center for Health Sciences | Clinic/Center | 4 E Clark Bass Blvd, Suite 203, Mcalester, OK 74501-4269 | 2015-01-22 |
| 1912334871 | Osu Center for Health Sciences | Clinic/Center | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 2013-10-08 |
| 1124175518 | Choctaw Nation of Oklahoma | Clinic/Center | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2007-01-05 |
| 1104922558 | Mcalester Regional Dialysis Center, LLC | Clinic/Center | 2 E Clark Bass Blvd, Suite 101, Mcalester, OK 74501-4210 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1356971071 | Management Worldwide, LLC | Clinic/Center | 4415 S Harvard Ave Ste 201, Tulsa, OK 74135-2618 | 2020-01-22 |
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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.