BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYS EDMOND CLINIC (NPI# 1740383603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740383603 |
Entity Type | Organization |
Organization Name | BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYS EDMOND CLINIC |
Other Organization Name | OU PHYSICIANS EDMOND CLINIC |
Practice Address |
105 N Bryant Suite 305 Edmond OK 73034 |
Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
Practice Telephone | 4053308641 |
Mailing Telephone | 4052711515 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2009-10-05 |
Authorized Official Name | BRIAN MADDY (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4052711515 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | DME PALMETTO MEDICARE | 1173440010 | 01 |
Other Name | Type Code |
---|---|
OU Physicians Edmond Clinic | Other Name - Individual/Organization |
Street Address |
105 N BRYANT SUITE 305 |
City | EDMOND |
State | OK |
Zip Code | 73034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
Find all providers in zip 73034 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
1285109876 | Housecall Providers of Oklahoma LLC | Clinic/Center | 1701 Victoria Dr, Edmond, OK 73003-3860 | 2018-10-10 |
1497038327 | Board of Regents of The University of Oklahoma-ou Physicians | Clinic/Center | 14101 N Eastern Avenue, Edmond, OK 73013 | 2011-09-27 |
1629381215 | Integrated Focus | Clinic/Center | 112 W 10th Pl, Edmond, OK 73003-5755 | 2010-07-23 |
1598195547 | Key Health Institute of Edmond, LLC | Clinic/Center | 14701 N Kelly Ave, Edmond, OK 73013-3814 | 2013-11-12 |
1093940454 | Family Medicine Associates of Edmond LLC | Clinic/Center | 105 S Bryant Ave Ste 210, Edmond, OK 73034-6331 | 2009-05-28 |
1033362231 | Edmond Podiatry Associates LLC | Clinic/Center | 105 S Bryant Ave Ste 104, Edmond, OK 73034-6361 | 2008-10-31 |
1699963264 | Kickingbird Family Medicine Pllc | Clinic/Center | 2820 N Kelly Ave, Suite 200, Edmond, OK 73003-3007 | 2007-10-09 |
1780801274 | Board of Regents of The University of Oklahoma - Ou Physicians Hope | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-04-19 |
1821121930 | Oklahoma Christian University | Clinic/Center | 2501 E Memorial Rd, Edmond, OK 73013-5525 | 2007-03-14 |
Find all providers in EDMOND |
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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.