BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1265616064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265616064 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Practice Address |
4444 E 41st St 1st Floor Ste B Ou Physicians Tulsa Pediatric Diabetes Center & Ha Tulsa OK 74135-2527 |
| Mailing Address |
4502 E 41st St 2g08 Ou Physicians Tulsa-clinical Services Tulsa OK 74135-2527 |
| Practice Telephone | 9186603632 |
| Practice Fax Number | 9186603631 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | BRIAN L MADDY (CEO OU PHYSICIANS) |
| Authorized Official Telephone | 4052713932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905610 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Physical Therapist | 5005 S Darlington Ave, #100, Tulsa, OK 74135-7307 | 2016-07-12 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1750539870 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 501 S Riverview Dr, Ouptch-bixby Brassfield 5th & 6th Grade Center, Bixby, OK 74008-4916 | 2008-09-03 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
| 1184808974 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 6465 S. Yale, Ste 304, Ou Physicians Tulsa Pediatric Specialist, Tulsa, OK 74136 | 2007-12-28 |
| 1386837045 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Psychiatry & Neurology | 4444 E. 41st St, 3rd Floor Ste C Ou Physicians Tulsa-p, Tulsa, OK 74135-2527 | 2007-08-24 |
| 1184821548 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E. 41st Street, Ou Bedlam Mobile Clinic, Tulsa, OK 74135-2553 | 2007-06-29 |
| 1891992251 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 1111 South St. Louis Ave, Ste 2000, Ou Physicians Tulsa Fam Med Women's Health Services, Tulsa, OK 74120 | 2007-06-29 |
| 1649477092 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Obstetrics & Gynecology | 4444 E. 41st St., 3rd Floor, Ste B, Ou Physicians Tulsa Women's Health Care Specialist, Tulsa, OK 74135-2527 | 2007-06-29 |
| Street Address |
4444 E 41ST ST 1ST FLOOR STE B OU PHYSICIANS TULSA PEDIATRIC DIABETES CENTER & HA |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772358 | Kanwaljeet Singh Hura | Pediatrics | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2016-06-29 |
| 1164716874 | Jonathan David Meyer | Pediatrics | 1200 Childrens Ave, Suite 4d, Oklahoma City, OK 73104-4637 | 2011-05-31 |
| 1588807879 | David Patrick Sparling | Pediatrics | 1200 Childrens Ave, Suite 4500, Oklahoma City, OK 73104-4637 | 2009-04-15 |
| 1629137179 | Sowmya Krishnan | Pediatrics | 1200 N Phillips Ave, Suite 4500, Oklahoma City, OK 73104-4600 | 2006-12-08 |
| 1104854256 | Steven D Chernausek | Pediatrics | 1200 N Phillips Ave, Suite 4500, Oklahoma City, OK 73104-4600 | 2006-06-29 |
| 1477521557 | Kenneth C Copeland | Pediatrics | 1200 N Phillips Ave, Suite 4500, Oklahoma City, OK 73104-4600 | 2006-03-14 |
| 1730157348 | Piers R Blackett | Pediatrics | 1200 N Phillips Ave, Suite 4500, Oklahoma City, OK 73104-4600 | 2006-03-09 |
Please comment or provide details below to improve the information on BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA.
| 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.