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

NPI Status: Active since March 30, 2015

Contact Information

2009 N MAIN ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 816-4024
Fax: (918) 816-4025

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  • Organization
  • Clinic/Center

About OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE

This page provides the complete NPI Profile along with additional information for Osu-aj Premier Pediatrics Of Muskogee, a provider established in Muskogee, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1124413075 assigned on March 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Osu-aj Premier Pediatrics Of Muskogee. The authorized official of this NPI record is Eric Polak (Vice President For Admin/finance)

NPI
1124413075
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2009 N MAIN ST MUSKOGEE, OK 74401
Location Phone
(918) 816-4024
Location Fax
(918) 816-4025
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 561-8306
Mailing Fax
(918) 816-4025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2015
Last Update Date
03-02-2016
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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 POLAK

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

Reviews for OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124413075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 8 + 1 + 6 + 0 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1124413075.

Other Providers at the Same Location


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

Clinic/Center
2009 N MAIN ST
MUSKOGEE, OK 74401
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Nurse Practitioner (Pediatrics)
2009 N MAIN ST
MUSKOGEE, OK 74401
Pediatrics
2009 N MAIN ST, PREMIER PEDIATRICS
MUSKOGEE, OK 74401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124413075, enumerated as an "organization" on March 30, 2015.

The provider is located at 2009 N MAIN ST MUSKOGEE, OK 74401 and the phone number is (918) 816-4024.

Clinic/Center with taxonomy code 261Q00000X.