Oklahoma State Univeristy Medical Center

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

5986 Issued in OK

Legal business name

OKLAHOMA STATE UNIVERISTY MEDICAL CENTER

Practice address

717 S Houston Ave
Suite 400
Tulsa, OK 74127-9023

Phone

(918) 382-4600

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shawna Duncan, DO

Title

Program Director

Phone

(918) 382-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oklahoma State Univeristy Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Osumc

  • Clinic/Center
  • Tulsa, OK
  • NPI 1710426614
  NPD tax ID

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1750828893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "address_2": "SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE",
            "address_2": "SUITE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279023",
            "telephone_number": "918-382-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA STATE UNIVERISTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "918-382-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "OK",
            "license": "5986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200652820",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Children's Hospital in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Children's Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.