BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS (NPI# 1124646971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124646971 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA - OU PHYSICIANS |
| Practice Address |
105 S Bryant Ave Ste 404 Edmond OK 73034-6331 |
| Mailing Address |
1122 Ne 13th St # 274 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052712663 |
| Practice Fax Number | 4052713074 |
| Mailing Telephone | 4052711515 |
| Mailing Fax Number | 4052711001 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | JOHN P ZUBIALDE (PRESIDENT) |
| Authorized Official Telephone | 4052711515 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Orthopedics (105 S Bryant Ave) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185803 | Board of Regents of The University of Oklahoma - Ou Physicians | Clinic/Center | 1000 N Lincoln Blvd Ste 1308, Oklahoma City, OK 73104-3252 | 2019-03-26 |
| 1477833523 | Board of Regents of The University of Oklahoma - Ou Physicians | Nurse Practitioner | 1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600 | 2011-08-22 |
| 1801869250 | Board of Regents of The University of Oklahoma - Ou Physicians | Clinic/Center | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2006-02-08 |
| Street Address |
105 S BRYANT AVE STE 404 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922341635 | Physician's Acupuncture, LLC | Anesthesiology | 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255784393 | Kmz Medical Solutions, Pllc | Clinic/Center | 800 W. St., Ste 102-c, Edmond, OK 73013-7920 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361273 | Allied Wound Care Specialist Pllc | Clinic/Center | 1145 W I 240 Service Rd Ste F100, Oklahoma City, OK 73139-2134 | 2020-09-17 |
| 1588213441 | Drayer Physical Therapy Oklahoma LLC | Clinic/Center | 11319 S State Highway 51 Ste 900, Coweta, OK 74429-7163 | 2019-09-04 |
| 1568021459 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 915 E Owen K Garriott Rd Ste 202, Enid, OK 73701-6156 | 2019-06-13 |
| 1356803308 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2a, El Reno, OK 73036-2149 | 2019-04-01 |
| 1992267959 | Saint Medical Group, LLC | Clinic/Center | 2315 Parkview Dr Ste 2b, El Reno, OK 73036-2149 | 2019-04-01 |
| 1831698752 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 109 Ne 40th St, Oklahoma City, OK 73105-2415 | 2018-02-06 |
| 1386185353 | Neuropathy Treatment Clinic of Oklahoma LLC | Clinic/Center | 1810 E 15th St Ste D, Tulsa, OK 74104-4611 | 2017-03-10 |
| 1942757554 | Seiling Municipal Hospital Authority | Clinic/Center | 809 Ne Hwy 60, Seiling, OK 73663 | 2016-09-01 |
| 1417303801 | Paradigm Hormones Tulsa, Pllc | Clinic/Center | 6316 E 102nd St, Tulsa, OK 74137-7061 | 2016-05-04 |
| 1619371473 | Dermatology & Allergy Solutions LLC | Clinic/Center | 4716 South Urbana Street, Broken Arrow, OK 74012 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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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.