NPIMap

Organization Active NPI

Board of Regents of the Univ of Oklahoma-Ou Physicians Breast Oncology

  • Clinic/Center
  • Okc, OK
National Provider Identifier
1922193374
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS BREAST ONCOLOGY
Practice address
825 NE 10TH St
Oupb5200
Okc, OK 73104
Phone
(405) 271-7867
NPI assigned
Oct 3, 2006
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Brian Maddy
Title
Chief Executive Officer
Phone
(405) 271-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

825 NE 10TH St
Oupb5200
Okc, OK 73104

Mailing address

1122 NE 13TH St
Ori236
Okc, OK 73117
Phone (405) 271-1515

Other identifiers 2

IdentifierTypeStateIssuer
200021910CMedicaidOK
200284910AMedicaidOK

Other names 1

  • OU Physicians Breast Oncology Other name

National Provider Directory

National Provider Directory
Tax ID family
Ou Physicians38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

825 NE 10th St
#5200
Oklahoma City, OK 73104
Phone (405) 271-7770

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1922193374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI236",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73117",
            "telephone_number": "405-271-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "address_2": "OUPB5200",
            "city": "OKC",
            "state": "OK",
            "postal_code": "73104",
            "telephone_number": "405-271-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS BREAST ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "MADDY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "405-271-1515"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021910C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200284910A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OU Physicians Breast Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Okc, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.