OU MEDICINE INC. (NPI# 1609390111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609390111 |
| Entity Type | Organization |
| Organization Name | OU MEDICINE INC. |
| Other Organization Name | AUTUMN LIFE CENTER |
| Practice Address |
1 S Bryant Ave Edmond OK 73034-6309 |
| Mailing Address |
1200 Everett Dr Oklahoma City OK 73104-5047 |
| Practice Telephone | 4053416100 |
| Mailing Telephone | 4052715100 |
| Mailing Fax Number | 4052716753 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | JAMES MICHAEL WATSON (CFO) |
| Authorized Official Telephone | 4052715100 |
| Is Organization Subpart | Y |
| Parent Organization Name | OU MEDICINE INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Autumn Life Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572833 | Ou Medicine Inc. | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142-9109 | 2017-07-27 |
| 1598289902 | Ou Medicine Inc. | Clinic/Center | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2017-07-27 |
| 1649794157 | Ou Medicine Inc. | General Acute Care Hospital | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2017-07-27 |
| Street Address |
1 S BRYANT AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| 1154962546 | Elizabeth Ann Powell | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2019-10-07 |
| 1346716776 | Tiffany Ruth Lenhart | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2018-10-24 |
| 1184121907 | Elizabeth Ann Jackson | Clinical Nurse Specialist | 1 S Bryant Ave, Edmond, OK 73034-6398 | 2018-04-09 |
| 1932610383 | Stephanie Nicole Beasley | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-12 |
| 1609386010 | Leah Lynnette Emerson | Physical Medicine & Rehabilitation | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-11 |
| 1801306642 | Tresa Dorman | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-06 |
| 1619487923 | Tristar Healthcare Inc | Internal Medicine | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-02 |
| 1033562673 | Scott Nicholson | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2016-07-19 |
| 1326426511 | Morgan Leigh Cooper | Dietitian, Registered | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053638544 | Hca Health Services of Oklahoma Inc | Psychiatric Unit | One South Bryant, Edmond, OK 73034-6309 | 2010-04-23 |
| 1871546135 | Hca Health Services of Oklahoma, Inc. | Psychiatric Unit | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225583032 | Rick L Owens Jr. | Psychiatric Unit | 115 F St Sw, Ardmore, OK 73401-4705 | 2016-08-22 |
| 1669878880 | Michael Pickens | Psychiatric Unit | 1003 Stone Creek Dr, Ardmore, OK 73401-1462 | 2014-11-16 |
| 1003135260 | Northwest Center for Behavioral Health | Psychiatric Unit | Rr 3 Box 57, Laverne, OK 73848 | 2010-05-26 |
| 1124346754 | Integris Baptist Medical Center Inc | Psychiatric Unit | 2601 N Spencer Rd, Spencer, OK 73084-3649 | 2010-05-06 |
| 1649305723 | Green Country Behavioral Health Services, Inc. | Psychiatric Unit | 2719 E Shawnee Rd, Muskogee, OK 74403-1533 | 2007-02-22 |
| 1457493355 | Green Country Behavioral Health Services, Inc. | Psychiatric Unit | 6365 W Okmulgee St, Muskogee, OK 74401-4595 | 2007-02-14 |
| 1497824742 | Ahs Henryetta Hospital LLC | Psychiatric Unit | Dewey, Bartlett & Main, Henryetta, OK 74437 | 2006-11-08 |
| 1689622615 | Southwestern Medical Center, LLC | Psychiatric Unit | 1602 Sw 82nd St, Lawton, OK 73505-9012 | 2006-05-04 |
| 1417947466 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2005-10-21 |
| 1518510296 | Uhs of Oklahoma, LLC | Psychiatric Unit | 305 S 5th St, Enid, OK 73701-5832 | 2019-07-22 |
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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.