Active NPI
Osu Health Care Center
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
National Provider Identifier
1497816607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- OSU HEALTH CARE CENTER
- Practice address
- 2345 Southwest Blvd
Tulsa, OK 74107-2705 - Phone
- (918) 561-8395
- Fax
- (918) 561-8525
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Penick
- Title
- Associate Director
- Phone
- (918) 561-8322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
2345 Southwest Blvd
Tulsa, OK 74107-2705
Mailing address
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-8395
National Provider Directory
National Provider Directory- Tax ID family
- Osu Health Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Tulsa, OK
- NPI 1306907514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497816607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 SOUTHWEST BLVD",
"city": "TULSA",
"state": "OK",
"postal_code": "741072705",
"telephone_number": "918-561-8395",
"fax_number": "918-561-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 SOUTHWEST BLVD",
"city": "TULSA",
"state": "OK",
"postal_code": "741072705",
"telephone_number": "918-561-8395",
"fax_number": "918-561-8525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSU HEALTH CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PENICK",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
"authorized_official_telephone_number": "918-561-8322"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.