STATE OF OKLAHOMA - OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPAT (NPI# 1881753358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881753358 |
Entity Type | Organization |
Organization Name | STATE OF OKLAHOMA - OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPAT |
Other Organization Name | OSU COUNTRY GARDEN FAMILY MEDICINE |
Practice Address |
446 W Latimer St Tulsa OK 74106-5106 |
Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
Practice Telephone | 9185948920 |
Practice Fax Number | 9185948926 |
Mailing Telephone | 9185615701 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2008-06-25 |
Authorized Official Name | REBECCA WILSON (DIRECTOR OF CLINIC FINANCIAL SERVIC) |
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 Country Garden Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770642266 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 1101 E Broadway Ave, Enid, OK 73701-4410 | 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 |
446 W LATIMER ST |
City | TULSA |
State | OK |
Zip Code | 74106-5106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
Find all providers in zip 74106 |
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 |
---|---|---|---|---|
1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
1912211475 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 245, Tulsa, OK 74133-5730 | 2010-07-27 |
1295059400 | Care Clinic | Clinic/Center | 3528 N Lansing Ave, Tulsa, OK 74106-1939 | 2010-03-16 |
1558559468 | Douglas M. Vaughn, D.o., P.C. | Clinic/Center | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2007-10-05 |
1114092012 | Osu Center for Health Sciences | Clinic/Center | 9001 S 101 E Ave, Suite 300, Tulsa, OK 74133 | 2006-11-24 |
1225102866 | Osu Center for Health Sciences | Clinic/Center | 4500 S Garnett Rd Ste 919, Tulsa, OK 74146-5229 | 2006-11-17 |
1982777637 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 500, Tulsa, OK 74127-9060 | 2006-11-17 |
1467526046 | Osu Center for Health Sciences | Clinic/Center | 4444 S Harvard Ave Ste 100, Tulsa, OK 74135-2611 | 2006-11-17 |
1649344367 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 200, Tulsa, OK 74133-5730 | 2006-11-17 |
Find all providers in TULSA |
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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.