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OKLAHOMA STATE UNIVERSITY
NPI 1306882261
Clinic/Center - Medical Specialty in Tulsa, OK

Active since June 21, 2006CLIA 37D2000059 · Waiver
2345 SOUTHWEST BLVD, TULSA, OK 74107(918) 561-5701(918) 585-9273 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Dec 9, 2019, Sep 27, 2019 (3 updates tracked since 2019).

About Oklahoma State University NPPES

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

OKLAHOMA STATE UNIVERSITY (NPI 1306882261), doing business as Osu Physicians, is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Eric John Polak, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1306882261
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOKLAHOMA STATE UNIVERSITY
Location Address2345 SOUTHWEST BLVDTulsa, OK 74107-2705
Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 561-5701 · Fax (918) 561-1173
Phone(918) 561-5701
Fax(918) 585-9273
Organization SubpartNo
Authorized OfficialEric John PolakVp/cfo · (918) 561-8422
Enumeration DateJune 21, 2006
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1306882261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
2345 SOUTHWEST BLVD, Tulsa, OK 74107
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Other Names 1

Doing Business AsOsu Physicians

Other Identifiers 1

Medicaid100757080AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 37D2000059

Oklahoma State University Telemedicine · Tulsa, OK
Active · expires Nov 18, 2027
CLIA Number37D2000059
Laboratory TypeMobile Rural Health Clnc
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorStephen Casady
Laboratory Phone(918) 584-4609
Laboratory LocationOklahoma State University Telemedicine1111 W 17th St, Tulsa, OK 74107
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.

DR. DANIEL JOUNG DO
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
MARIA MONI KUNNEL DO
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
LARRY D CHERRY DO
Family Medicine
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
AUDREY BYRD DO
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 960-4146
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center (Medical Specialty)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 561-5701
KATHY NGUYEN DO
Student in an Organized Health Care Education/Training Program
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 561-8395
SUSAN K REDWOOD PHD
Psychologist (Health Service)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980
ANDREW COLE EICHELBERGER PHARMD
Pharmacist (Ambulatory Care)
2345 SOUTHWEST BLVD
TULSA, OK 74107
Tulsa County (918) 582-1980

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 Oklahoma State University's NPI number?

The NPI number for Oklahoma State University is 1306882261. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as OSU Physicians.

Where is Oklahoma State University located?

Oklahoma State University is located at 2345 Southwest Blvd, Tulsa, OK 74107. The listed phone number is (918) 561-5701.

What is Oklahoma State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Oklahoma State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2000059) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oklahoma State University accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Oklahoma State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oklahoma State University was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.