Osumc Professional Services LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

OSUMC PROFESSIONAL SERVICES LLC

Practice address

9645 Riverside Pkwy Ste C
Tulsa, OK 74137-7427

Phone

(918) 209-5710

Fax

(918) 209-5187

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Eric Atkinson

Title

Ceo

Phone

(918) 599-5000

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• OSU Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Osumc Professional Services LLC

  • Sports Medicine (Family Medicine) Physician
  • Sand Springs, OK
  • NPI 1154845501
  NPPES parent name
• Osumc Professional Services LLC

  • Family Medicine Physician
  • Okmulgee, OK
  • NPI 1730793696
  NPPES parent name

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Harold Beebe, M.D.

  • Family Medicine Physician
  • Muskogee, OK
  • NPI 1407047723
  Medicare reassignment Care Compare group NPD
• Sheldon Curtis Berger, D.O.

  • Gastroenterology Physician
  • Tulsa, OK
  • NPI 1114982089
  Medicare reassignment Care Compare group NPD
• James Nelson Cornwell, D.O.

  • Family Medicine Physician
  • Sand Springs, OK
  • NPI 1669884987
  Medicare reassignment Care Compare group NPD
• Nadim N Daher, MD

  • Pulmonary Disease Physician
  • Tulsa, OK
  • NPI 1326149048
  Medicare reassignment Care Compare group NPD
• Laurie Ann Duckett, DO

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
  • NPI 1114923794
  Medicare reassignment Care Compare group NPD
• Ronald M. Eimen

  • Family Medicine Physician
  • Mannford, OK
  • NPI 1588756951
  Medicare reassignment Care Compare group NPD
• Perry William Evans Jr., DO

  • Family Medicine Physician
  • Cleveland, OK
  • NPI 1942281688
  Medicare reassignment Care Compare group NPD
• Hanna Fogg, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Tulsa, OK
  • NPI 1730620246
  Medicare reassignment Care Compare group NPD
• Chelsey Diane Griffin, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1437359288
  Medicare reassignment Care Compare group NPD
• Zachary Griffin, DO

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1922685049
  Medicare reassignment Care Compare group NPD
• Chad Hanson, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tulsa, OK
  • NPI 1649561713
  Medicare reassignment Care Compare group NPD
• Sophia Belinda Korman, D.O.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1487392973
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1922325992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 RIVERSIDE PKWY STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377427",
            "telephone_number": "918-209-5710",
            "fax_number": "918-209-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSUMC PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-599-5000"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308130A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osu Health Care Center
• Osu MC Professional Services LLC
• Osu Medical Center
• Osu-Tulsa Speech-Language-Hearing Clinic
• Osumc
• Sylvia Shalom Otis, BCBA
• Oto-Systems
• Holli Belle Ott, MD, MPH
• Jamie Ottaviani
• Alexis Otten

• Medical Specialty Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.