OSU-AJ WARREN CLINIC OB/GYN 650
NPI 1043789498
Clinic/Center in Tulsa, OK

Active since November 15, 2018
6600 S YALE AVE STE 650, TULSA, OK 74136(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 25, 2019, Nov 15, 2018 (2 updates tracked since 2018).

  • Organization
  • Clinic/Center

About OSU-AJ WARREN CLINIC OB/GYN 650

This page provides the complete NPI Profile along with additional information for Osu-aj Warren Clinic Ob/gyn 650, a provider established in Tulsa, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1043789498 assigned on November 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Osu-aj Warren Clinic Ob/gyn 650. The authorized official of this NPI record is Eric John Polak (Vice President For Admin/finance)

NPI
1043789498 Verify this NPI
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ WARREN CLINIC OB/GYN 650
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6600 S YALE AVE STE 650 TULSA, OK 74136
Location Phone
(918) 561-8306
Location Fax
(918) 561-5747
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 561-8306
Mailing Fax
(918) 561-5747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2018
Last Update Date
07-25-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC JOHN POLAK

Authorized Official Title
VICE PRESIDENT FOR ADMIN/FINANCE
Authorized Official Phone
(918) 561-8422

Reviews for OSU-AJ WARREN CLINIC OB/GYN 650

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
6600 S YALE AVE STE 650
TULSA, OK 74136
Internal Medicine
6600 S YALE AVE STE 650
TULSA, OK 74136
Internal Medicine
6600 S YALE AVE STE 650
TULSA, OK 74136
Internal Medicine
6600 S YALE AVE STE 650
TULSA, OK 74136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043789498, enumerated as an "organization" on November 15, 2018.

The provider is located at 6600 S YALE AVE STE 650 TULSA, OK 74136 and the phone number is (918) 561-8306.

Clinic/Center with taxonomy code 261Q00000X.