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OSU CENTER FOR HEALTH SCIENCES
NPI 1205567047
Clinic/Center in Broken Arrow, OK

Active since June 22, 2022
3300 S ASPEN AVE STE A, BROKEN ARROW, OK 74012(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: September 27, 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 1205567047), doing business as Osu-aj Southside Dermatology Broken Arrow, is a healthcare organization registered as a clinic/center in Broken Arrow, Oklahoma and active in the NPI registry since June 2022. The organization lists Eric John Polak, Vice President Of Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1205567047
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address3300 S ASPEN AVE STE ABroken Arrow, OK 74012-7501
Mailing Address1716 S Phoenix AveTulsa, OK 74107-1850 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 561-8306
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric John PolakVice President Of Admin/finance · (918) 561-8422
Enumeration DateJune 22, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1205567047 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).
3300 S ASPEN AVE STE A, Broken Arrow, OK 74012
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Other Names 1

Doing Business AsOsu-aj Southside Dermatology Broken Arrow

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.

SOUTHSIDE DERMATOLOGY PLLC
Dermatology
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 760-0700
DR. MARY MELISSA MORGAN M.D.
Dermatology (Procedural Dermatology)
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 770-4599
MS. KATHY HUYNH PA-C
Physician Assistant
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 770-4599
DREW ENDICOTT DDS AND ASSOCIATES PLLC
Dentist (General Practice)
3300 S ASPEN AVE STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 251-0211

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 1205567047. It was assigned to this organization in the NPPES registry on June 22, 2022. The provider is doing business as Osu-Aj Southside Dermatology Broken Arrow.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 3300 S Aspen Ave Ste A, Broken Arrow, OK 74012. 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 June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.