OSU-AJ NORMAN REGIONAL MOORE
NPI 1568085504
Clinic/Center in Moore, OK

Active since May 26, 2020
700 S TELEPHONE RD, MOORE, OK 73160(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2020, May 26, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center

About OSU-AJ NORMAN REGIONAL MOORE

This page provides the complete NPI Profile along with additional information for Osu-aj Norman Regional Moore, a provider established in Moore, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568085504 assigned on May 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Osu-aj Norman Regional Moore. The authorized official of this NPI record is Eric John Polak (Vice President For Admin/finance)

NPI
1568085504 Verify this NPI
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ NORMAN REGIONAL MOORE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
700 S TELEPHONE RD MOORE, OK 73160
Location Phone
(918) 561-8306
Location Fax
(918) 561-5747
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 561-8306
Mailing Fax
(918) 561-5747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2020
Last Update Date
09-09-2020
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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 JOHN POLAK

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

Reviews for OSU-AJ NORMAN REGIONAL MOORE

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
700 S TELEPHONE RD
MOORE, OK 73160
Dietitian, Registered
700 S TELEPHONE RD
MOORE, OK 73160
Physician Assistant
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Family Medicine
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Occupational Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Occupational Therapist (Physical Rehabilitation)
700 S TELEPHONE RD
MOORE, OK 73160
General Acute Care Hospital
700 S TELEPHONE RD
MOORE, OK 73160
Emergency Medicine (Emergency Medical Services)
700 S TELEPHONE RD
MOORE, OK 73160
Pharmacy (Institutional Pharmacy)
700 S TELEPHONE RD
MOORE, OK 73160
Social Worker (Clinical)
700 S TELEPHONE RD
MOORE, OK 73160
Nurse Practitioner (Family)
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapist
700 S TELEPHONE RD
MOORE, OK 73160
Physician Assistant
700 S TELEPHONE RD, STE 201
MOORE, OK 73160
Family Medicine
700 S TELEPHONE RD
MOORE, OK 73160
Speech-Language Pathologist
700 S TELEPHONE RD
MOORE, OK 73160
Physical Therapy Assistant
700 S TELEPHONE RD
MOORE, OK 73160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568085504, enumerated as an "organization" on May 26, 2020.

The provider is located at 700 S TELEPHONE RD MOORE, OK 73160 and the phone number is (918) 561-8306.

Clinic/Center with taxonomy code 261Q00000X.