NPIMap

Organization Active NPI

Board of Regents of the University of Oklahoma-Ou Physicians

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1609052927
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Practice address
940 Stanton L Young Blvd
Room 415
Oklahoma City, OK 73104-5020
Phone
(405) 271-2422
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
John P Zubialde, MD
Title
Executive Dean
Phone
(405) 271-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

940 Stanton L Young Blvd
Room 415
Oklahoma City, OK 73104-5020

Mailing address

PO Box 269025
Oklahoma City, OK 73126-9025
Phone (405) 271-1500

Other identifiers 1

IdentifierTypeStateIssuer
100758710AMedicaidOK

Other names 1

  • Pathology Lab Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0903375Ou Health Molecular Pathology Laboratory940 Stanton L Young Blvd, BMSB RM 415, Oklahoma City, OK 73104AccreditationJan 17, 2027

National Provider Directory

National Provider Directory

Locations

940 Stanton L Young Blvd
Rm 415
Oklahoma City, OK 73104
Phone (405) 271-2422

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1609052927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269025",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269025",
            "telephone_number": "405-271-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD",
            "address_2": "ROOM 415",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ZUBIALDE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DEAN",
        "authorized_official_telephone_number": "405-271-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100758710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Lab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pathology Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.