OSU CENTER FOR HEALTH SCIENCES (NPI# 1558693457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693457 |
| Entity Type | Organization |
| Organization Name | OSU CENTER FOR HEALTH SCIENCES |
| Other Organization Name | OSU-AJ SPIRO HMA |
| Practice Address |
702 W Broadway St Spiro OK 74959-2430 |
| Mailing Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 9189622442 |
| Mailing Telephone | 9185618306 |
| Mailing Fax Number | 9185615747 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | ERIC POLAK (CFO OSU PHYSICIANS) |
| Authorized Official Telephone | 9185618422 |
| 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 |
| Other Name | Type Code |
|---|---|
| OSU-AJ SPIRO HMA | 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 |
702 W BROADWAY ST |
| City | SPIRO |
| State | OK |
| Zip Code | 74959-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137728 | Robert C Williams | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2005-10-10 |
| 1891350104 | Osu Center for Health Sciences | Clinic/Center | 702 W Broadway St, Spiro, OK 74959-2430 | 2019-05-02 |
| 1346724887 | Nata Matthews | Nurse Practitioner | 702 W Broadway St, Spiro, OK 74959-2430 | 2018-09-20 |
| 1578042404 | Baptist Health Services | Family Medicine | 702 W Broadway St, Spiro, OK 74959 | 2018-08-10 |
| 1356693048 | Arveitta Yvonne Edge | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2012-10-05 |
| 1811288525 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 702 W Broadway St, Spiro, OK 74959-2430 | 2011-04-28 |
| 1407951486 | Sparks Medical Foundation | Durable Medical Equipment & Medical Supplies | 702 W Broadway St, Spiro, OK 74959-2430 | 2006-09-14 |
| 1023057668 | Linda M Rodriguez | Family Medicine | 702 W Broadway St, Spiro, OK 74959-2430 | 2006-06-06 |
| 1063489854 | Nancy R. Duncan-larry | Physician Assistant | 702 W Broadway St, Spiro, OK 74959-2430 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891148292 | Regan Lynn Huff | Case Manager/Care Coordinator | 228822 Racetrack Road, Spiro, OK 74959 | 2016-07-20 |
| 1891920211 | Compassion Home Care, Inc. | Home Health | 19409 Us Hwy 271, Spiro, OK 74959 | 2009-05-29 |
| 1487149043 | River Valley Primary Care, L.L.C. | Family Medicine | 107 W Broadway St, Spiro, OK 74959-2417 | 2018-06-26 |
| 1821181264 | Dedmon Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 213 W Broadway St, Spiro, OK 74959-2419 | 2006-09-30 |
| 1326508706 | Dedmon Pharmacy Inc | Pharmacy | 213 W Broadway St, Spiro, OK 74959-2419 | 2019-03-22 |
| 1497881098 | Bradley Wayne Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-26 |
| 1922147834 | Danielle Loren Dedmon | Pharmacist | 213 W Broadway St, Spiro, OK 74959-2419 | 2007-02-06 |
| 1205822681 | Keifer Layne Fisher | Dentist | 318 W Broadway St, Spiro, OK 74959-2422 | 2005-09-21 |
| 1730277740 | Spiro Family Dental P.C. | Clinic/Center | 318 W Broadway St, Spiro, OK 74959-2422 | 2006-10-11 |
| 1770848004 | Spiro Public Schools | Speech-Language Pathologist | 600 W Broadway St, Spiro, OK 74959-2428 | 2012-07-12 |
| Find all providers in zip 74959 | ||||
| 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 |
|---|---|---|---|---|
| 1093312548 | Prime Health Associates, Pllc | Clinic/Center | 2511 Alexa Ave, Edmond, OK 73034-3458 | 2020-10-07 |
| 1598387524 | Thomas E. Cashero Md LLC | Clinic/Center | 90 N 30th St Ste 5, Clinton, OK 73601-3100 | 2020-05-13 |
| 1184271793 | Healthy Skin Dermatology of Oklahoma Pllc | Clinic/Center | 13933 Technology Dr Ste B, Oklahoma City, OK 73134-1053 | 2019-08-20 |
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1831610641 | Scot A Sullivan Md PC | Clinic/Center | 2020 E 15th St Ste B, Edmond, OK 73013-6749 | 2017-06-30 |
| 1053862102 | Okc Neurology-catherine E Porter Md, Pllc | Clinic/Center | 6701 W Hefner Rd Ste B, Oklahoma City, OK 73162-4706 | 2016-10-24 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1891102331 | Panhandle Counseling and Health Center, Inc. | Clinic/Center | 5170 Patricia Blvd, Guymon, OK 73942-0000 | 2014-07-16 |
| 1922350719 | Allergy Arts of Oklahoma Pllc | Clinic/Center | 3300 Nw 56th St Ste 100, Oklahoma City, OK 73112-4538 | 2012-10-04 |
| 1255699112 | Meghan E. Scears, Md, Pllc | Clinic/Center | 808 24th Ave Nw Ste 202, Norman, OK 73069-6204 | 2012-04-30 |
| Find all providers with the same taxonomy | ||||
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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.