BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS


Address: 940 Stanton L Young Blvd, Room 415, Oklahoma City, OK 73104-5020
Phone: 4052712422

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS (NPI# 1609052927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609052927
Entity Type Organization
Organization Name BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Other Organization Name PATHOLOGY LAB
Practice Address 940 Stanton L Young Blvd
Room 415
Oklahoma City
OK 73104-5020
Mailing Address Po Box 269025
Oklahoma City
OK 73126-9025
Practice Telephone 4052712422
Mailing Telephone 4052711500
Enumeration Date 2008-01-16
Last Update Date 2020-01-06
Authorized Official Name JOHN P ZUBIALDE (EXECUTIVE DEAN)
Authorized Official Telephone 4052711515
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 100758710A 05

Other Provider/Organization Names

Other Name Type Code
Pathology Lab Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497038327 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 14101 N Eastern Avenue, Edmond, OK 73013 2011-09-27
1548362411 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 1200 Children's Ave, Suite B100, Oklahoma City, OK 73104-4600 2006-09-02
1346600715 Board of Regents of The University of Oklahoma-ou Physicians Family Medicine 1212 S Douglas Blvd, Suite B, Midwest City, OK 73130-5246 2016-02-29
1093125254 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 1200 Childrens Ave, Suite 2e, Oklahoma City, OK 73104-4637 2014-04-28
1932526001 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 1200 Childrens Ave, Oucp 3100, Oklahoma City, OK 73104-4637 2014-03-26
1376984955 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 1601 Sw 89th St, Suite D300, Oklahoma City, OK 73159-6349 2013-07-11
1962734483 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 1200 Children's Ave, Suite 6100, Oklahoma City, OK 73104-4600 2010-02-09
1265539795 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 825 Ne 10th St, Oupb1300, Oklahoma City, OK 73104-5417 2006-09-19
1083711519 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 825 Ne 10th St, Oupb 5f, Oklahoma City, OK 73104-5417 2006-09-19
1033211123 Board of Regents of The University of Oklahoma-ou Physicians Clinic/Center 900 Ne 10th St, Oklahoma City, OK 73104 2006-09-01

Office Location

Street Address 940 STANTON L YOUNG BLVD
ROOM 415
City OKLAHOMA CITY
State OK
Zip Code 73104-5020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972572881 Kar-ming A Fung Pathology 940 Stanton L Young Blvd, Ste. 451, Oklahoma City, OK 73104-5020 2006-03-14
1104435866 Cody Andrew Cox Pathology 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 2020-07-29
1275192940 Jordan Taylor Keith Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 2019-06-06
1154980837 Beth Raju Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 2019-06-06
1982197521 Manuel Maldonado-vital Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Bmsb 451, Oklahoma City, KS 73104 2018-06-08
1447771019 Carlos Rodrigo Dominguez Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 2017-07-04
1043668130 Sifat Kibria Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 2016-05-30
1790131738 Greeballa Magzoub Student in an Organized Health Care Education/Training Program 940 Stanton L Young Blvd, Bmsb 451, Oklahoma City, OK 73104-5020 2016-05-09
1639554181 Shahbaz Ali Khan Pathology 940 Stanton L Young Blvd, Bmsb 451, Oklahoma City, OK 73104-5020 2015-07-27
1851706220 Ngoc Thy Bao Tran Pathology 940 Stanton L Young Blvd, Bmsb 451, Oklahoma City, OK 73104-5020 2014-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356979645 Kayla Campbell Dietitian, Registered Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 2020-03-31
1447715453 Roman Michael Garcia Dentist Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 2019-02-04
1265902340 Jenna Lyn Celii Registered Nurse 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 2018-11-30
1407337462 Opus Medical, LLC Psychiatry & Neurology 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 2018-08-27
1316433295 Syed Muhammad Shakaib Quadri Pathology 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 2018-07-03
1447746417 Nimrah Bader Internal Medicine 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 2018-07-02
1417440793 Helen Judith Turkson Apetor Nurse Practitioner 700 Ne 13th, Oklahoma City, OK 73104 2018-06-11
1003307935 Mary Katlin Nixon Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 2018-05-26
1558851220 Bryce Yohannan Student in an Organized Health Care Education/Training Program 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 2018-05-17
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1831698752 Healthworks Medical Group of Oklahoma P C Clinic/Center 109 Ne 40th St, Oklahoma City, OK 73105-2415 2018-02-06
1205826062 State of Oklahoma Board of Regents The Univ of Okla Health Science Ct Clinic/Center John W Keys Speech and Hearing Center, 1200 N Stonewall Ave, Oklahoma City, OK 73117-1215 2005-10-24
1811548373 Healthworks Medical Group of Oklahoma P C Clinic/Center 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 2019-09-26
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
1922555481 Accident Injury Management, LLC Clinic/Center 5909 Nw Expressway, Suite 300, Oklahoma City, OK 73132-5103 2016-09-01
1396166229 American Current Care Pa Clinic/Center 1500 W I 240 Service Rd, Suite A-14, Oklahoma City, OK 73159-8209 2013-12-19
1922305960 Oklahoma Medical Research Foundation Clinic/Center 820 Ne 15th St, Oklahoma City, OK 73104-4602 2011-02-25
1548447600 Board of Regents of The University of Oklahoma -ou Physicians Genetics Clinic/Center 941 Stanton L Young Blvd, Oklahoma City, OK 73104-5019 2008-01-30
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
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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