OKLAHOMA STATE UNIVERSITY (NPI# 1598827776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598827776 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA STATE UNIVERSITY |
| Other Organization Name | OSU UNIVERSITY HEALTH SERVICES PHARMACY |
| Practice Address |
1202 W Farm Rd Stillwater OK 74078-2036 |
| Practice Telephone | 4057447665 |
| Practice Fax Number | 4057442059 |
| Mailing Telephone | 4057447025 |
| Mailing Fax Number | 4057442136 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MR. JACK HENNEHA (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 4057447665 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSU UNVIVERSITY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
8-3015 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | FEDERAL TAX ID | 736017987 | 01 |
| OK | 100757330F | 05 |
| Other Name | Type Code |
|---|---|
| OSU University Health Services Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326495433 | Oklahoma State University | Clinical Medical Laboratory | 1111 W 17th St # A-220, Tulsa, OK 74107-1886 | 2016-05-18 |
| 1679872535 | Oklahoma State University | Community/Behavioral Health | 101 Hes-west, Oklahoma State University, Stillwater, OK 74078-6122 | 2011-03-17 |
| 1104294818 | Oklahoma State University | Clinic/Center | 744 W 9th St, Tulsa, OK 74127-9020 | 2015-09-11 |
| 1063681104 | Oklahoma State University | Physical Therapist | 170 Athletics Center, Stillwater, OK 74078-0001 | 2008-02-22 |
| 1700994878 | Oklahoma State University | Audiologist | 042 Murray, Stillwater, OK 74078 | 2006-08-28 |
| 1306882261 | Oklahoma State University | Clinic/Center | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKLAHOMA STATE UNIVERSITY | 401 Whitehurst Hall, Stillwater, OK 74078-1030 |
| System for Award Management (SAM) Entities | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER | 744 W 9th St, Tulsa, OK 74127-9020 |
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER TRUST | *********, ** ****** |
| Oklahoma Business Registrations | OKLAHOMA STATE UNIVERSITY MEDICAL TRUST | 744 W 9th St, Tulsa, OK 74127 |
| Street Address |
1202 W FARM RD |
| City | STILLWATER |
| State | OK |
| Zip Code | 74078-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295429 | Michael Warren Strange | Internal Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-02-21 |
| 1740769439 | Lindsey Loraine Leforce | Nurse Practitioner | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2018-08-13 |
| 1427350214 | Dawn Elynn Swinford | Nurse Practitioner | 1202 W Farm Rd, Stillwater, OK 74078-2036 | 2010-11-30 |
| 1881639367 | Osu University Health Services | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-06-18 |
| 1043252158 | Bradley K Warrick | Neuromusculoskeletal Medicine & OMM | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-06-12 |
| 1518936152 | Michael T Kelly | Family Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-03-16 |
| 1023086188 | Jane L Curtis | Family Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477930428 | Claire Williams | Specialist/Technologist | 170f Athletics Center, Stillwater, OK 74078 | 2015-04-29 |
| 1114216959 | Kara Sue Niccum | Counselor | 320 Student Union, Stillwater, OK 74078 | 2011-04-01 |
| 1992028971 | Trevor Richardson | Psychologist | 316 Student Union, Stillwater, OK 74078 | 2010-03-05 |
| 1639391584 | Jason R Miller | Specialist/Technologist | Oklahoma State University, Athletics Center, Stillwater, OK 74078 | 2007-05-02 |
| 1396877957 | Thomas Jai Gross | Counselor | 434 Willard Hall, Oklahoma State University, Stillwater, OK 74078 | 2007-03-09 |
| 1043373533 | Val Gene Iven | Internal Medicine | 170 Athletics Center, Osu Sportsmedicine, Stillwater, OK 74078 | 2006-12-18 |
| 1851940365 | Sherri Norton | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2019-09-06 |
| 1629224720 | Kristi Dee Carpenter | Speech-Language Pathologist | 042 Murray Hall, Stillwater, OK 74078 | 2008-08-08 |
| 1700994878 | Oklahoma State University | Audiologist | 042 Murray, Stillwater, OK 74078 | 2006-08-28 |
| 1922658301 | James Kenneth Jefferson | Specialist/Technologist | 200 Athletic Center Gallagher Iba Arena, Stillwater, OK 74078-0001 | 2019-09-17 |
| Find all providers in zip 74078 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639367 | Osu University Health Services | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063706406 | Langston University | Clinic/Center | 1233 Highway 33 East, C.f. Gayles Fieldhouse Room 161, Langston, OK 73050 | 2011-06-02 |
| 1740385657 | Maryetta School | Clinic/Center | Rr 6 Box 2840, Stilwell, OK 74960-9452 | 2006-09-14 |
| 1427166495 | Barnsdall School | Clinic/Center | 200 South Eighth St., Barnsdall, OK 74002-0629 | 2006-08-29 |
| 1477524593 | Krebs Public Schools | Clinic/Center | 20 Sw 5th, Krebs, OK 74554-0067 | 2006-01-27 |
| 1639591639 | Oklahoma City University Campus Health | Clinic/Center | 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402 | 2014-01-09 |
| 1588946578 | Redlands Community College | Clinic/Center | 1300 S Country Club Rd, El Reno, OK 73036-5304 | 2011-09-15 |
| 1881974244 | Southwesten Oklahoma State University Training Room | Clinic/Center | 100 Campus Dr, Weatherford, OK 73096-3001 | 2011-08-17 |
| 1083913131 | Oklahoma Baptist University | Clinic/Center | 500 W University St, Shawnee, OK 74804-2522 | 2011-03-15 |
| 1699932228 | Oklahoma City University | Clinic/Center | 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402 | 2008-05-21 |
| 1548372626 | Board of Regents of The University of Oklahoma--ou Health Services | Clinic/Center | 620 Elm Ave, Norman, OK 73019-3142 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74078 |
Please comment or provide details below to improve the information on OKLAHOMA STATE UNIVERSITY.
| 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.