BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1184947236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184947236 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Other Organization Name | OU PHYSICIANS TULSA MBJSM |
| Practice Address |
209 S 36th St Muskogee OK 74401-5043 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186827717 |
| Practice Fax Number | 9186829434 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | JONATHAN JOINER (COO OU PHYSICIANS) |
| Authorized Official Telephone | 9186603081 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TUL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
19721 | OK | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 12652 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OU Physicians Tulsa MBJSM | Doing Business As Name - Organization |
| 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 |
| Street Address |
209 S 36TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1164767018 | John V Tedesco Do Pa | Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2012-12-04 |
| 1972899144 | Dennis Rivero, Md, Inc., PC | Orthopaedic Surgery | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-06-25 |
| 1700175155 | Muskogee Bone & Joint & Sports Medicine | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-04-06 |
| 1841508918 | Jack E Weaver, Md PC | Internal Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-09-22 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1518161249 | Fred M Ruefer, Md PC | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-06-14 |
| 1548479942 | Jennifer Miller | Specialist/Technologist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-05-22 |
| 1619982188 | Dennis Rivero | Orthopaedic Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093833527 | Ellis Phillip Couch I | Orthopaedic Surgery | 103 N. 32nd St., Muskogee, OK 74401-2122 | 2007-03-26 |
| 1134324825 | Amanda Deann Martin | Orthopaedic Surgery | 101 Rockefeller Dr, Suite 101, Muskogee, OK 74401-5056 | 2007-06-20 |
| 1962512830 | Therron Samuel Nichols | Orthopaedic Surgery | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-08-30 |
| 1619982188 | Dennis Rivero | Orthopaedic Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564343 | Murray State College | Orthopaedic Surgery | 1 Murray Campus St, Tishomingo, OK 73460-3137 | 2020-10-05 |
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1194262097 | Essential Integrative Health Pllc | Orthopaedic Surgery | 9060 Harmony Dr Ste B, Midwest City, OK 73130-6253 | 2017-01-30 |
| 1679023170 | Bobby Doyce Anthony | Orthopaedic Surgery | 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 | 2016-10-07 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
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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.