Osu Owasso

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OSU OWASSO

Practice address

10512 N. 110TH E. Ave
Owasso, OK 74055

Phone

(918) 747-5322

NPI assigned

Dec 11, 2006

Last updated

Sep 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Penick

Title

Associate Director

Phone

(918) 561-8322

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1982764171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 N. 110TH E. AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N. 110TH E. AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "74055",
            "telephone_number": "918-747-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU OWASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "PENICK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "918-561-8322"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Orr
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• Osu Center for Health Sciences (Osu-Aj Urologic Specialists of Ok. - Owasso)
• Rachel Otto, DPT
• Our Family Doctor LLC
• Owasso Behavioral Health
• Owasso Counseling Services,PLLC
• Owasso Dialysis LLC (Owasso Dialysis)

• Surgery Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.