Active NPI
Osumc Professional Services LLC
Doing business as OSU Medical Group
- Medical Specialty Clinic/Center
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- OSUMC PROFESSIONAL SERVICES LLC
- Doing business as
- OSU Medical Group
- Practice address
- 9645 Riverside Pkwy Ste C
Tulsa, OK 74137-7427 - Phone
- (918) 209-5710
- Fax
- (918) 209-5187
- NPI assigned
- Apr 29, 2010
- Last updated
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Family Medicine Physician | 207Q00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
9645 Riverside Pkwy Ste C
Tulsa, OK 74137-7427
Mailing address
5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701
Other names 1
- OSU Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
717 S Houston Ave
Ste 457
Tulsa, OK 74127
744 W 9th St
Fl 1
Tulsa, OK 74127
Phone (918) 631-8377
802 S Jackson Ave
Ste 210
Tulsa, OK 74127
Phone (918) 561-1515
802 S Jackson Ave
Ste 301
Tulsa, OK 74127
Phone (918) 582-3154
802 S Jackson Ave
Ste 312
Tulsa, OK 74127
Phone (918) 561-1500
802 S Jackson Ave
Ste 401
Tulsa, OK 74127
9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170
Dept 2732
Tulsa, OK 74182
Ownership & related parties
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.
-
dba OSU Medical Group Sand Springs Primary Care
- Sports Medicine (Family Medicine) Physician
- Sand Springs, OK
- NPI 1154845501
-
dba OSU Medical Group
- Family Medicine Physician
- Okmulgee, OK
- NPI 1730793696
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1407047723
-
- Gastroenterology Physician
- Tulsa, OK
- NPI 1114982089
-
- Family Medicine Physician
- Sand Springs, OK
- NPI 1669884987
-
- Pulmonary Disease Physician
- Tulsa, OK
- NPI 1326149048
-
- Plastic and Reconstructive Surgery Physician
- Tulsa, OK
- NPI 1114923794
-
- Family Medicine Physician
- Mannford, OK
- NPI 1588756951
-
- Family Medicine Physician
- Cleveland, OK
- NPI 1942281688
-
- Endocrinology, Diabetes & Metabolism Physician
- Tulsa, OK
- NPI 1730620246
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1437359288
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1922685049
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Tulsa, OK
- NPI 1649561713
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1487392973
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OSU Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 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.