OKLAHOMA STATE UNIVERSITY MEDICAL CENTER (NPI# 1154598605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154598605 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER |
| Practice Address |
744 W 9th St # H410 Tulsa OK 74127-9020 |
| Mailing Address |
1229 W 112th St S Jenks OK 74037-2037 |
| Practice Telephone | 9185995920 |
| Mailing Telephone | 9185186346 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. JENNY ALEXOPULOS (DIRECTOR OF MEDICAL EDUCATION) |
| Authorized Official Telephone | 9185995920 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780927335 | Oklahoma State University Medical Center | General Acute Care Hospital | 744 W 9th St, Tulsa, OK 74127-9020 | 2013-04-02 |
| 1497930838 | Oklahoma State University Medical Center | General Acute Care Hospital | 700 N Greenwood Ave, Tulsa, OK 74106-0702 | 2008-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | 744 W 9th St, Tulsa, OK 74127-9020 |
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST | *********, ** ****** |
| Street Address |
744 W 9TH ST # H410 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9020 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101202 | Tulsa Er & Hospital LLC | General Acute Care Hospital | 717 W. 71st Street, Tulsa, OK 74132-7413 | 2019-02-27 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
| 1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
| 1093160186 | Precision Surgical Assistants | General Acute Care Hospital | 7509 W 34th Pl, Tulsa, OK 74107-4507 | 2016-04-26 |
| 1194971598 | Saint Francis Hospital Inc | General Acute Care Hospital | 6605 S Yale Ave, Tulsa, OK 74136-3326 | 2008-08-18 |
| 1427154178 | Select Specialty Hospital - Tulsa Midtown LLC | General Acute Care Hospital | 1125 S Trenton Ave, 2nd and 3rd Floor, Tulsa, OK 74120-5418 | 2006-09-16 |
| 1487651857 | Oklahoma Surgical Hospital, LLC | General Acute Care Hospital | 2408 E 81st St, Ste 900, Tulsa, OK 74137-4217 | 2005-06-30 |
| 1366857047 | University of Oklahoma School of Community Medicine | General Acute Care Hospital | 1111 S Saint Louis Ave, Tulsa, OK 74120-5440 | 2014-06-22 |
| 1780927335 | Oklahoma State University Medical Center | General Acute Care Hospital | 744 W 9th St, Tulsa, OK 74127-9020 | 2013-04-02 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on OKLAHOMA STATE UNIVERSITY MEDICAL CENTER.
| 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.