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OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE
NPI 1124413075
Clinic/Center in Muskogee, OK

Active since March 30, 2015
2009 N MAIN ST, MUSKOGEE, OK 74401(918) 816-4024(918) 816-4025 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osu-aj Premier Pediatrics Of Muskogee NPPES

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

OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE (NPI 1124413075) is a healthcare organization registered as a clinic/center in Muskogee, Oklahoma and active in the NPI registry since March 2015. The organization lists Eric Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1124413075
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address2009 N MAIN STMuskogee, OK 74401-4131
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 816-4024
Fax(918) 816-4025
Organization SubpartNo
Authorized OfficialEric PolakVice President For Admin/finance · (918) 561-8422
Enumeration DateMarch 30, 2015
Last NPPES UpdateMarch 2, 2016
✔ NPI 1124413075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
2009 N MAIN ST, Muskogee, OK 74401
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Other Names 1

Doing Business AsOsu-aj Premier Pediatrics Of Muskogee

Other Providers at the Same Location NPPES 4

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

RYAN T MUNDY M.D.
Pediatrics
2009 N MAIN ST, PREMIER PEDIATRICS
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
AMY JONES APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
MISS ASHTON DEONE LINDSEY APRN-CNP
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024
PREMIER PEDIATRIC AND ADOLESCENT CARE
Clinic/Center
2009 N MAIN ST
MUSKOGEE, OK 74401
Muskogee County (918) 816-4024

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 Osu Center For Health Sciences's NPI number?

The NPI number for Osu Center For Health Sciences is 1124413075. It was assigned to this organization in the NPPES registry on March 30, 2015. The provider is doing business as Osu-Aj Premier Pediatrics Of Muskogee.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 2009 N Main St, Muskogee, OK 74401. The listed phone number is (918) 816-4024.

What is Osu Center For Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Osu Center For Health Sciences was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.