STATE OF OKLAHOMA - OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPAT (NPI# 1770642266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770642266 |
| Entity Type | Organization |
| Organization Name | STATE OF OKLAHOMA - OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPAT |
| Other Organization Name | OSU ENID FAMILY MEDICINE |
| Practice Address |
1101 E Broadway Ave Enid OK 73701-4410 |
| Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 5809775000 |
| Practice Fax Number | 9189775004 |
| Mailing Telephone | 9185615701 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | REBECCA WILSON (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 9185618322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100757080A | 05 |
| Other Name | Type Code |
|---|---|
| OSU Enid Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881753358 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-08 |
| 1831250802 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 635 W 11th St, Tulsa, OK 74127-9014 | 2006-12-13 |
| 1780745745 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9023 | 2006-12-13 |
| 1134280381 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-12-12 |
| 1174684385 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-12 |
| 1548329063 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 802 S Jackson Ave, Suite 420, Tulsa, OK 74127-9015 | 2006-12-08 |
| Street Address |
1101 E BROADWAY AVE |
| City | ENID |
| State | OK |
| Zip Code | 73701-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376988279 | Maya Alexa Bass | Family Medicine | 1101 E Broadway Ave, Enid, OK 73701-4410 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| 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 |
|---|---|---|---|---|
| 1790096071 | Osu Center for Health Sciences | Clinic/Center | 620 S Madison St Ste 209, Enid, OK 73701-7270 | 2010-07-01 |
| 1386965143 | Osu Center for Health Sciences | Clinic/Center | 615 E Oklahoma Ave, Suite 101, Enid, OK 73701-5951 | 2010-06-16 |
| 1033430897 | Osu Center for Health Sciences | Clinic/Center | 3201 N Van Buren St, Suite 400, Enid, OK 73703-1812 | 2010-06-16 |
| 1023339884 | Osu Center for Health Sciences | Clinic/Center | 3201 N Van Buren St, Suite 400, Enid, OK 73703-1812 | 2010-06-16 |
| 1144551185 | Osu Center for Health Sciences | Clinic/Center | 3201 N Van Buren St, Suite 300, Enid, OK 73703-1812 | 2010-01-14 |
| 1609940857 | Osu Center for Health Sciences | Clinic/Center | 915 E Owen K Garriott Rd, Suite A, Enid, OK 73701-6156 | 2006-11-20 |
| 1538233002 | Osu Center for Health Sciences | Clinic/Center | 615 E Oklahoma Ave, Suite 200, Enid, OK 73701-5951 | 2006-11-17 |
| 1720151558 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2006-11-17 |
| 1780758235 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Er Dept, Enid, OK 73701-7211 | 2006-11-17 |
| 1477515609 | Emergency Medical Services, Inc. | Clinic/Center | 600 S Monroe St, Er Dept., Enid, OK 73701-7211 | 2006-04-04 |
| Find all providers in ENID | ||||
Please comment or provide details below to improve the information on STATE OF OKLAHOMA - OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPAT.
| 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.