BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1376771352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376771352 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Other Organization Name | OU PHYSICIANS TULSA ORTHOPEDIC TRAUMA |
| Practice Address |
2424 E 21st St Ste 320 Tulsa OK 74114-1711 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9183924555 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | BRIAN L MADDY (CEO OU PHYSICIANS) |
| Authorized Official Telephone | 4052713932 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TUL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OU Physicians Tulsa Orthopedic Trauma | Doing Business As Name - Organization |
| 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 |
| 1265616064 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Nurse Practitioner | 4444 E 41st St 1st Floor Ste B, Ou Physicians Tulsa Pediatric Diabetes Center & Ha, Tulsa, OK 74135-2527 | 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 |
| Street Address |
2424 E 21ST ST STE 320 |
| City | TULSA |
| State | OK |
| Zip Code | 74114-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463616 | Jay Justin Weinstein | Obstetrics & Gynecology | 2424 E 21st St, Suite 425, Tulsa, OK 74114-1711 | 2005-11-08 |
| 1790065472 | James Scott Frayser | Internal Medicine | 2424 E 21st St, Suite 425, Tulsa, OK 74114-1711 | 2011-08-25 |
| 1932405313 | Pediatric Respiratory Sleep Services | Pediatrics | 2424 E 21st St, 440, Tulsa, OK 74114-1711 | 2011-02-02 |
| 1104095439 | Jay J Weinstein, Md, Inc | Specialist | 2424 E 21st St, Suite 425, Tulsa, OK 74114-1711 | 2008-02-20 |
| 1033277413 | Excel Therapy Specialists, LLC | Physical Therapist | 2424 E 21st St, Ste 400, Tulsa, OK 74114-1741 | 2006-12-05 |
| 1801988597 | Brent Lane Norris | Orthopaedic Surgery | 2424 E 21st St, Suite 320, Tulsa, OK 74114-1722 | 2006-09-29 |
| 1437170834 | Sean D Wilson | Physical Therapist | 2424 E 21st St, Ste 400, Tulsa, OK 74114-1711 | 2006-07-21 |
| 1497772057 | Darrell L Platt | Physical Therapist | 2424 E 21st St, Ste 400, Tulsa, OK 74114-1711 | 2006-07-17 |
| 1134105257 | Paul Ryan Stafford | Orthopaedic Surgery | 2424 E 21st St, Suite 320, Tulsa, OK 74114-1722 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841746 | Mark M Calder | Orthopaedic Surgery | 5110 S Yale Ave Ste 320, Tulsa, OK 74135 | 2009-06-19 |
| 1841433844 | Douglas Alexander Smith | Orthopaedic Surgery | 2424 E 21 St, 320, Tulsa, OK 74114-1722 | 2009-04-07 |
| 1962617613 | Azad Dadgar-dehkordi | Orthopaedic Surgery | 5110 S Yale Ave Ste 525, Tulsa, OK 74135 | 2007-05-14 |
| 1235316829 | Orthopedic & Trauma Service of Oklahoma, PC | Orthopaedic Surgery | 5110 S Yale Ave Ste 525, Tulsa, OK 74135-7485 | 2008-01-25 |
| 1598960908 | Tulsa Orthopedic Trauma Specialists PC | Orthopaedic Surgery | 6475 S Yale Ave, Ste 301, Tulsa, OK 74136-7816 | 2007-06-16 |
| 1801988597 | Brent Lane Norris | Orthopaedic Surgery | 2424 E 21st St, Suite 320, Tulsa, OK 74114-1722 | 2006-09-29 |
| 1134105257 | Paul Ryan Stafford | Orthopaedic Surgery | 2424 E 21st St, Suite 320, Tulsa, OK 74114-1722 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033360979 | Cimarron Orthopedics, PC | Orthopaedic Surgery | 320 N Perkins Rd, Stillwater, OK 74075-5513 | 2008-10-09 |
| 1376728907 | Steven S Sands | Orthopaedic Surgery | 3433 Nw 56th St, Suite 950, Oklahoma City, OK 73112-4455 | 2008-01-02 |
| 1669559720 | Southwest Orthopaedic Specialists, P.l.l.c. | Orthopaedic Surgery | 8100 S Walker Ave, Building A, Oklahoma City, OK 73139-9404 | 2006-11-01 |
| 1609820612 | Tariq Bin Masud Niazi | Orthopaedic Surgery | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2006-05-22 |
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.