BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1518004829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518004829 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Other Organization Name | OU PHYSICIANS TULSA CSOS BIXBY |
| Practice Address |
12800 S Memorial Dr Ste D Bixby OK 74008-2577 |
| Mailing Address |
Ou Physicians Tulsa-clinical Services 4502 E. 41st Street, 2g08 Tulsa OK 74135-2553 |
| Practice Telephone | 9183942767 |
| Practice Fax Number | 9184817611 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-07-09 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OU Physicians Tulsa CSOS Bixby | 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 |
12800 S MEMORIAL DR STE D |
| City | BIXBY |
| State | OK |
| Zip Code | 74008-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384414 | Kathleen M. Sisler | Physical Medicine & Rehabilitation | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2005-11-29 |
| 1649762709 | Lauren A Hebensperger | Physical Therapist | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2018-06-05 |
| 1992851505 | Troy A. Glaser | Family Medicine | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2007-01-26 |
| 1679512784 | Tanya Kaye Jackson | Physical Therapist | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| 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 |
| 1255784393 | Kmz Medical Solutions, Pllc | Clinic/Center | 800 W. St., Ste 102-c, Edmond, OK 73013-7920 | 2016-07-13 |
| 1417303801 | Paradigm Hormones Tulsa, Pllc | Clinic/Center | 6316 E 102nd St, Tulsa, OK 74137-7061 | 2016-05-04 |
| Find all providers with the same taxonomy | ||||
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.