OSU CENTER FOR HEALTH SCIENCES (NPI# 1356886725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356886725 |
| Entity Type | Organization |
| Organization Name | OSU CENTER FOR HEALTH SCIENCES |
| Other Organization Name | OSU-AJ COVENANT WOMEN'S CARE, LLC. |
| Practice Address |
1505 N Commerce St Suite 204 Ardmore OK 73401-1863 |
| Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 9185618306 |
| Practice Fax Number | 9185615747 |
| Mailing Telephone | 9185618306 |
| Mailing Fax Number | 9185615747 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | ERIC POLAK (VICE PRESIDENT FOR ADMIN/FINANCE) |
| Authorized Official Telephone | 9185618422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OSU-AJ COVENANT WOMEN'S CARE, LLC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1447895586 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste 201, Lawton, OK 73505-6350 | 2019-11-13 |
| 1952957995 | Osu Center for Health Sciences | Clinic/Center | 10507 E 91st St Ste 550, Tulsa, OK 74133-5590 | 2019-08-15 |
| 1942852694 | Osu Center for Health Sciences | Clinic/Center | 1201 W 6th Ave, Stillwater, OK 74074-4307 | 2019-07-12 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OSU CENTER FOR HEALTH SCIENCES | 1111 W 17th St, Tulsa, OK 74107-1886 |
| Street Address |
1505 N COMMERCE ST SUITE 204 |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601868 | Robert Dean Hanna | Physician Assistant | 1505 N Commerce St, Ste 203, Ardmore, OK 73401-1859 | 2005-10-05 |
| 1619424603 | Covenant Women's Care LLC | Obstetrics & Gynecology | 1505 N Commerce St, Suite 204, Ardmore, OK 73401-1863 | 2016-09-07 |
| 1801854617 | Mark Edward Melton | Obstetrics & Gynecology | 1505 N Commerce St, Suite #204, Ardmore, OK 73401-1863 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205004074 | Alan R. Mckown, Dc, PC | Clinic/Center | 804 16th Ave Nw, Ardmore, OK 73401-1818 | 2008-02-14 |
| 1962941427 | Iv Health Center | Clinic/Center | 1107 Walnut Dr, Ardmore, OK 73401-2354 | 2017-02-16 |
| 1811449390 | Osu Center for Health Sciences | Clinic/Center | 1001 15th Ave Nw, Ardmore, OK 73401-1803 | 2016-10-31 |
| 1861872038 | Osu Center for Health Sciences | Clinic/Center | 1001 15th Ave Nw, Ardmore, OK 73401-1803 | 2015-06-03 |
| 1285036418 | Rediclinic of Pa, LLC | Clinic/Center | 169 W Lancaster Ave, Ardmore, PA 19003-1401 | 2014-09-18 |
| 1649680604 | Mckown Clinic Pllc | Clinic/Center | 804 16th Ave Nw, Ardmore, OK 73401-1818 | 2014-04-30 |
| 1740533538 | Mckown Clinic Pllc | Clinic/Center | 1001 15th Ave Nw, Ardmore, OK 73401-1803 | 2012-10-18 |
| 1740540327 | Healthworks Medical Group of Oklahoma PC | Clinic/Center | 1105 Michelin Rd, Ardmore, OK 73401-1085 | 2012-05-17 |
| 1508187501 | Proactive Enterprises LLC | Clinic/Center | 615 N Commerce St, Suite E, Ardmore, OK 73401-3942 | 2010-06-14 |
| 1669626263 | Arthritis Care Center Oklahoma Pllc | Clinic/Center | 2401 N Commerce St, C, Ardmore, OK 73401-1311 | 2008-11-10 |
| Find all providers in ARDMORE | ||||
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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.