BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA (NPI# 1295779916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295779916 |
| Entity Type | Organization |
| Organization Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Practice Address |
Bcchs Roosevelt Elementary School 1202 West Easton St Tulsa OK 74127 |
| Mailing Address |
Ou Physicians Tulsa-clinical Services 4502 E. 41st Street, 2g08 Tulsa OK 74135-2552 |
| Practice Telephone | 9186603614 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN L MADDY (CEO OU PHYSICIANS) |
| Authorized Official Telephone | 4052713932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| 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 |
BCCHS ROOSEVELT ELEMENTARY SCHOOL 1202 WEST EASTON ST |
| City | TULSA |
| State | OK |
| Zip Code | 74127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
| 1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
| 1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
| 1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
| 1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA.
| 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.