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OKLAHOMA STATE UNIVERSITY
NPI 1548329063
Clinic/Center - Medical Specialty in Tulsa, OK

Active since December 08, 2006
5310 E 31ST ST FL 11, TULSA, OK 74135(918) 584-5364(918) 584-5394 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Oklahoma State University NPPES

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

OKLAHOMA STATE UNIVERSITY (NPI 1548329063), doing business as Osu Physicians Family Medicine Legacy, is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since December 2006. The organization lists Eric John Polak, Vp, as its authorized official.

NPPES Registry Identity

NPI1548329063
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameOKLAHOMA STATE UNIVERSITY
Location Address5310 E 31ST ST FL 11Tulsa, OK 74135-5018
Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 561-5701 · Fax (918) 561-1173
Phone(918) 584-5364
Fax(918) 584-5394
Organization SubpartNo
Authorized OfficialEric John PolakVp · (918) 561-8422
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1548329063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).
5310 E 31ST ST FL 11, Tulsa, OK 74135
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Other Names 1

Doing Business AsOsu Physicians Family Medicine Legacy

Other Identifiers 1

Medicaid100757080AOK

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.

DR. RACHEL WIRGINIS DO
Family Medicine (Addiction Medicine)
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-4364
MALINDA ARRINGTON ARNP
Nurse Practitioner (Family)
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-5364
JENNY J ALEXOPULOS DO
Family Medicine
5310 E 31ST ST FL 11
TULSA, OK 74135
Tulsa County (918) 584-5364

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 1548329063. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as OSU Physicians Family Medicine Legacy.

Where is Oklahoma State University located?

Oklahoma State University is located at 5310 E 31st St Fl 11, Tulsa, OK 74135. The listed phone number is (918) 584-5364.

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.

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 6 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.