Oklahoma State University

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0106977 Issued in OK

Legal business name

OKLAHOMA STATE UNIVERSITY

Practice address

744 W 9TH St
Tulsa, OK 74127-9020

Phone

(918) 599-1000

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Kyla Wittner

Title

RN

Phone

(918) 440-0005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1104294818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E BRAHMA AVE",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740292712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-599-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "WITTNER",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "918-440-0005"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "0106977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Skin Surgery & Cosmetic Dermatology, P.C.
• Oklahoma Sleep Specialists LLC
• Oklahoma Smiles Youth Dentistry, PLLC
• Oklahoma Spine and Brain Institute, LLP
• Oklahoma State Univeristy Medical Center
• Oklahoma State University
• Oklahoma State University
• Oklahoma State University
• Oklahoma State University
• Oklahoma State University

• Medical Specialty Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.