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OU PHYSICIANS
NPI 1093125254
Clinic/Center - Ambulatory Surgical in Oklahoma City, OK

Active since April 28, 2014CLIA 37D2338590 · Waiver
1200 CHILDRENS AVE, SUITE 2E, OKLAHOMA CITY, OK 73104(405) 271-4864(405) 271-5644 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ou Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OU PHYSICIANS (NPI 1093125254) is a healthcare organization registered as an ambulatory surgical in Oklahoma City, Oklahoma and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Brian L Maddy, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093125254
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Location Address1200 CHILDRENS AVE, SUITE 2EOklahoma City, OK 73104-4637
Mailing Address1122 Ne 13th St, Ori 274Oklahoma City, OK 73117-1039 · (405) 271-1515 · Fax (405) 271-1001
Phone(405) 271-4864
Fax(405) 271-5644
Organization SubpartNo
Authorized OfficialBrian L MaddyChief Executive Officer · (405) 271-3932
Enumeration DateApril 28, 2014
✔ NPI 1093125254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1200 CHILDRENS AVE, Oklahoma City, OK 73104
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Other Names 1

Doing Business AsOu Physicians

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2338590

Ou Physicians Executive Health Clinic · Oklahoma City, OK
Active · expires Feb 11, 2028
CLIA Number37D2338590
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorGeorge Tardibono
Laboratory Phone(405) 271-9355
Laboratory LocationOu Physicians Executive Health Clinic825 NE 10th St, Ste 2C, Oklahoma City, OK 73104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRUTI SHAH
Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MRS. RACHEL LEIGH CROSS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4412
KAYLEE MARTIN
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5437
KRISTEN PUENTE RD, LD
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ROA MUQBEL
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. CLAIRE ELIZABETH KUNKEL SMITH DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
JAY OGLE DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
BLAYNE BORDWINE
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Regents Of The University Of Oklahoma-Ou Physicians's NPI number?

The NPI number for Board Of Regents Of The University Of Oklahoma-Ou Physicians is 1093125254. It was assigned to this organization in the NPPES registry on April 28, 2014. The provider is doing business as Ou Physicians.

Where is Board Of Regents Of The University Of Oklahoma-Ou Physicians located?

Board Of Regents Of The University Of Oklahoma-Ou Physicians is located at 1200 Childrens Ave Suite 2E, Oklahoma City, OK 73104. The listed phone number is (405) 271-4864.

What is Board Of Regents Of The University Of Oklahoma-Ou Physicians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Board Of Regents Of The University Of Oklahoma-Ou Physicians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2338590) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Board Of Regents Of The University Of Oklahoma-Ou Physicians was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.