BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA


Address: 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527
Phone: 9186194300

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1134163942) 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) 1134163942
Entity Type Organization
Organization Name BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Other Organization Name OU PHYSICIANS TULSA PEDIATRICS
Practice Address 4444 E 41st Street 3rd Floor Ste B
Schusterman Center Clinic
Tulsa
OK 74135-2527
Mailing Address 4502 E 41st St 2g08
Ou Physicians Tulsa Clinical Affairs
Tulsa
OK 74135-2553
Practice Telephone 9186194300
Practice Fax Number 9186194322
Mailing Telephone 9186603632
Enumeration Date 2006-06-15
Last Update Date 2007-08-09
Authorized Official Name BRIAN L MADDY (CEO OU PHYSICIANS)
Authorized Official Telephone 4052713932
Is Organization Subpart Y
Parent Organization Name BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TUL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
Allopathic & Osteopathic Physicians
N 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
Allopathic & Osteopathic Physicians
N 2080P0208X Pediatrics
Specialization: Pediatric Infectious Diseases
Allopathic & Osteopathic Physicians
N 2080P0216X Pediatrics
Specialization: Pediatric Rheumatology
Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
OU Physicians Tulsa Pediatrics Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477905610 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Physical Therapist 5005 S Darlington Ave, #100, Tulsa, OK 74135-7307 2016-07-12
1982859963 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 2008-11-18
1184872004 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 2008-09-04
1750539870 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 501 S Riverview Dr, Ouptch-bixby Brassfield 5th & 6th Grade Center, Bixby, OK 74008-4916 2008-09-03
1437307550 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 2008-09-03
1184808974 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 6465 S. Yale, Ste 304, Ou Physicians Tulsa Pediatric Specialist, Tulsa, OK 74136 2007-12-28
1265616064 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Nurse Practitioner 4444 E 41st St 1st Floor Ste B, Ou Physicians Tulsa Pediatric Diabetes Center & Ha, Tulsa, OK 74135-2527 2007-12-28
1386837045 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Psychiatry & Neurology 4444 E. 41st St, 3rd Floor Ste C Ou Physicians Tulsa-p, Tulsa, OK 74135-2527 2007-08-24
1184821548 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 4502 E. 41st Street, Ou Bedlam Mobile Clinic, Tulsa, OK 74135-2553 2007-06-29
1891992251 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Family Medicine 1111 South St. Louis Ave, Ste 2000, Ou Physicians Tulsa Fam Med Women's Health Services, Tulsa, OK 74120 2007-06-29

Office Location

Street Address 4444 E 41ST STREET 3RD FLOOR STE B
SCHUSTERMAN CENTER CLINIC
City TULSA
State OK
Zip Code 74135-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518900505 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Internal Medicine 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 2006-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
Find all providers in zip 74135

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679067664 Laurie Ann Alfrey Pediatrics 1025 E 18th St, Tulsa, OK 74120-7406 2018-06-21
1114468436 Vanessa Boshuizen Pediatrics 12020 E 31st St, Tulsa, OK 74146-2001 2017-03-20
1407390115 Empower Pediatrics Pediatrics 9659 Riverside Pkwy, Tulsa, OK 74137-7398 2016-12-14
1346660834 Amber Lee Shipman Pediatrics 3516 E 31st Street South, Suite B, Tulsa, OK 74135 2014-04-23
1811239569 Sara Mcdonald Pediatrics 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 2013-03-20
1265782338 Milestones Pediatric Urgent Care Pediatrics 3863 South 103rd E Avenue, Tulsa, OK 74146 2012-09-14
1588982219 Mary Emlyn Garber Baird Pediatrics 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 2010-05-05
1982859963 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 2008-11-18
1184872004 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 2008-09-04
1437307550 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 2008-09-03
Find all providers in TULSA

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City TULSA
Zip Code 74135

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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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