OSU CENTER FOR HEALTH SCIENCES
NPI 1205440963
Clinic/Center in Tulsa, OK

Active since September 01, 2020
5801 E 41ST ST STE 200, TULSA, OK 74135(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Osu Center For Health Sciences NPPES

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

OSU CENTER FOR HEALTH SCIENCES (NPI 1205440963), doing business as Osu-aj Southside Dermatology, is a healthcare organization registered as a clinic/center in Tulsa, Oklahoma and active in the NPI registry since September 2020. The organization lists Eric John Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1205440963
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address5801 E 41ST ST STE 200Tulsa, OK 74135-5627
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 561-8306 · Fax (918) 561-5747
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric John PolakVice President For Admin/finance · (918) 561-8422
Enumeration DateSeptember 1, 2020
NPPES CertifiedAugust 27, 2020
NPI 1205440963 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).

5801 E 41ST ST STE 200, Tulsa, OK 74135

Other Names 1

Doing Business AsOsu-aj Southside Dermatology

Other Providers at the Same Location NPPES 3

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

Dermatology (MOHS-Micrographic Surgery)
5801 E 41ST ST STE 200
TULSA, OK 74135
Dermatology (MOHS-Micrographic Surgery)
5801 E 41ST ST STE 200
TULSA, OK 74135
Pediatrics
5801 E 41ST ST STE 200
TULSA, OK 74135

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 1205440963. It was assigned to this organization in the NPPES registry on September 1, 2020. The provider is doing business as Osu-Aj Southside Dermatology.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 5801 E 41st St Ste 200, Tulsa, OK 74135. The listed phone number is (918) 561-8306.

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 September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.