NPIMap

Organization Active NPI

Board Fo Regents of the University of Oklahoma Ou Physicians Tulsa

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1902072960
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BOARD FO REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Practice address
2325 South Harvard Ste 400a
Outach Family & Children's Services
Tulsa, OK 74114
Phone
(918) 660-3622
Fax
(918) 660-3611
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Brian L Maddy
Title
Ceo Ou Physicians
Phone
(405) 271-3932

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

2325 South Harvard Ste 400a
Outach Family & Children's Services
Tulsa, OK 74114

Mailing address

4502 E 41St St 2G08
Ou Physicians Tulsa-Clinical Services
Tulsa, OK 74135-2527
Phone (918) 660-3632

Other identifiers 1

IdentifierTypeStateIssuer
100755890CMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Board of Regents of the53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

2325 S Harvard Ave
Ste 400A
Tulsa, OK 74114
Phone (918) 660-3622

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1902072960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 E 41ST ST 2G08",
            "address_2": "OU PHYSICIANS TULSA-CLINICAL SERVICES",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-660-3632",
            "fax_number": "918-660-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SOUTH HARVARD STE 400A",
            "address_2": "OUTACH FAMILY & CHILDREN'S SERVICES",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74114",
            "telephone_number": "918-660-3622",
            "fax_number": "918-660-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD FO REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO OU PHYSICIANS",
        "authorized_official_telephone_number": "405-271-3932"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100755890C",
            "state": "OK"
        }
    ],
    "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 Apr 30, 2008; 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.