Board of Regents of the Univ of Okla Ou Physicians Employer Spons Clin

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOARD OF REGENTS OF THE UNIV OF OKLA OU PHYSICIANS EMPLOYER SPONS CLIN

Practice address

101 N Robinson Ave
Suite 200
Oklahoma City, OK 73102-5504

Phone

(405) 271-8880

Fax

(405) 208-8732

NPI assigned

Jan 23, 2013

Organization subpart

Yes

Parent organization

BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian L Maddy

Title

Chief Executive Officer

Phone

(405) 271-3932

Specialties & licenses 1

Addresses

Part of

Board of Regents of the Univ of Oklahoma-Ou Phys Orl

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1013255249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1515",
            "fax_number": "405-271-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N ROBINSON AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025504",
            "telephone_number": "405-271-8880",
            "fax_number": "405-208-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIV OF OKLA OU PHYSICIANS EMPLOYER SPONS CLIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS",
        "enumeration_date": "2013-01-23",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-271-3932"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Boada Robayo, MD
• Boaldin Eye Care
• Christopher B. Boaldin, O.D.
• Michelle Boamah, MD
• Board of Regents of Ok - Col of Dentistry Grad Perodontics
• Board of Regents of the Univ of Okla-Stephenson Specialty Pharmacy
• Board of Regents of the Univ of Oklahoma
• Board of Regents of the Univ of Oklahoma Ou Physicians Child Study Cen
• Board of Regents of the Univ of Oklahoma Ou Physicians Community Pedia
• Board of Regents of the Univ of Oklahoma Pharmacists Med Mgmnt Service

• Primary Care Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.