OSU CENTER FOR HEALTH SCIENCES (NPI# 1619041720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619041720 |
| Entity Type | Organization |
| Organization Name | OSU CENTER FOR HEALTH SCIENCES |
| Other Organization Name | OSU-AJ GRAND LK-ENT |
| Practice Address |
900 E 13th St Suite 201 Grove OK 74344-2975 |
| Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 9187873463 |
| Practice Fax Number | 9187867212 |
| Mailing Telephone | 9185618306 |
| Mailing Fax Number | 9185611173 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | KIM E PENICK (DIRECTOR CLINIC FINANCIAL SERVICES) |
| Authorized Official Telephone | 9185618322 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OSU-AJ GRAND LK-ENT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1447895586 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 | 2019-11-13 |
| 1952957995 | Osu Center for Health Sciences | Clinic/Center | 10507 E 91st St Ste 550, Tulsa, OK 74133-5590 | 2019-08-15 |
| 1942852694 | Osu Center for Health Sciences | Clinic/Center | 1201 W 6th Ave, Stillwater, OK 74074-4307 | 2019-07-12 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OSU CENTER FOR HEALTH SCIENCES | 1111 W 17th St, Tulsa, OK 74107-1886 |
| Street Address |
900 E 13TH ST SUITE 201 |
| City | GROVE |
| State | OK |
| Zip Code | 74344-2975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411536 | Paul Edward Callicoat Jr. | Internal Medicine | 900 E 13th St, Suite 200, Grove, OK 74344-2975 | 2005-07-18 |
| 1083049001 | Osu Center for Health Sciences | Clinic/Center | 900 E 13th St, Suite 201, Grove, OK 74344-2976 | 2013-09-10 |
| 1639511157 | Tessa Lynn Longan | Nurse Practitioner | 900 E 13th St, Suite 205, Grove, OK 74344-2975 | 2013-07-25 |
| 1326304643 | Ashley Shelley | Obstetrics & Gynecology | 900 E 13th St, Suite 205, Grove, OK 74344-2975 | 2012-04-11 |
| 1447551817 | Kelly Patricia Long | Nurse Practitioner | 900 E 13th St, Suite 101, Grove, OK 74344-2975 | 2010-11-16 |
| 1598904526 | Kioumars (none) Zarintash | Family Medicine | 900 E 13th St, 104, Grove, OK 74344-2975 | 2009-02-15 |
| 1851555239 | Tyson Richard Trimble | Orthopaedic Surgery | 900 E 13th St, Suite 104, Grove, OK 74344-2975 | 2008-07-15 |
| 1316092182 | Renee J Russell Md Inc | Family Medicine | 900 E 13th St, Suite 104, Grove, OK 74344-2975 | 2007-01-24 |
| 1124030002 | James B Chapman | Internal Medicine | 900 E 13th St, Suite 200, Grove, OK 74344-2975 | 2006-08-12 |
| 1326067174 | Douglas Allen Ohlstrom | Surgery | 900 E 13th St, Suite 102, Grove, OK 74344-2975 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604935 | Deborah Stauss | Massage Therapist | 2086 S Main St, Grove, OK 74344 | 2019-05-20 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1205329232 | Andra Renee Mitchell | Speech-Language Pathologist | 825 E Third Street, Grove, OK 74344 | 2018-06-13 |
| 1861996217 | Jenniffer Colleen Clark I | Case Manager/Care Coordinator | 1115 Har-ber Rd, Grove, OK 74344 | 2018-03-21 |
| 1417458167 | Jason S Beckham | Case Manager/Care Coordinator | 32600 S. 625 Road, Grove, OK 74344 | 2018-02-27 |
| 1659872034 | Keli Elaine Whitlock | Peer Specialist | 5602 Us Hwy 59, Grove, OK 74344 | 2018-02-22 |
| 1851899454 | Nichole Marie Wooton | Case Manager/Care Coordinator | 1115 Har-ber Road, Grove, OK 74344 | 2018-01-29 |
| 1043766645 | Samantha Lane | Speech-Language Pathologist | 1046 Hillside Road, Grove, OK 74344 | 2016-09-01 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1477807428 | Andrew Scott Littlejohn | Physical Therapy Assistant | 103 Harber Road, Grove, OK 74344 | 2012-10-30 |
| Find all providers in zip 74344 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205139516 | Osu Center for Health Sciences | Clinic/Center | 1101 E 13th St, Grove, OK 74344-7959 | 2010-12-08 |
| 1841319126 | Aviation Medicine of Oklahoma | Clinic/Center | 63800 E 300 Rd, Grove, OK 74344-7991 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312548 | Prime Health Associates, Pllc | Clinic/Center | 2511 Alexa Ave, Edmond, OK 73034-3458 | 2020-10-07 |
| 1598387524 | Thomas E. Cashero Md LLC | Clinic/Center | 90 N 30th St Ste 5, Clinton, OK 73601-3100 | 2020-05-13 |
| 1184271793 | Healthy Skin Dermatology of Oklahoma Pllc | Clinic/Center | 13933 Technology Dr Ste B, Oklahoma City, OK 73134-1053 | 2019-08-20 |
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1831610641 | Scot A Sullivan Md PC | Clinic/Center | 2020 E 15th St Ste B, Edmond, OK 73013-6749 | 2017-06-30 |
| 1053862102 | Okc Neurology-catherine E Porter Md, Pllc | Clinic/Center | 6701 W Hefner Rd Ste B, Oklahoma City, OK 73162-4706 | 2016-10-24 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1891102331 | Panhandle Counseling and Health Center, Inc. | Clinic/Center | 5170 Patricia Blvd, Guymon, OK 73942-0000 | 2014-07-16 |
| 1922350719 | Allergy Arts of Oklahoma Pllc | Clinic/Center | 3300 Nw 56th St Ste 100, Oklahoma City, OK 73112-4538 | 2012-10-04 |
| 1255699112 | Meghan E. Scears, Md, Pllc | Clinic/Center | 808 24th Ave Nw Ste 202, Norman, OK 73069-6204 | 2012-04-30 |
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| 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.