OSU FAMILY MEDICINE
NPI 1619219359
Special Hospital in Tulsa, OK

NPI Status: Active since March 20, 2013

Contact Information

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107
Phone: (918) 582-1980

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  • Organization
  • Special Hospital
  • CLIA Number: 37D0965506
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-04-2026

About OSU FAMILY MEDICINE

This page provides the complete NPI Profile along with additional information for Osu Family Medicine, a provider established in Tulsa, Oklahoma operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1619219359 assigned on March 2013. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Lora Cotton D.o. (Program Director)

NPI
1619219359
Provider Name
OSU FAMILY MEDICINE
Entity Type
Organization
Location Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Location Phone
(918) 582-1980
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 582-1980
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2013
Last Update Date
03-20-2013
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

LORA COTTON D.O.

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(918) 582-1980

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0965506
Facility Type
Physician Office
Certificate Effective Date
July 05, 2024
Certificate Expiration Date
July 04, 2026
Laboratory Director
LORA D. COTTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osu Family Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619219359
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26294118310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 1 + 1 + 8 + 3 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1619219359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

LARRY D CHERRY DO

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

RICHARD H BOST PHD

Psychologist

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

LARRY L ELLIS DO

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

JOHN J FERNANDES DO

Pathology

(Clinical Pathology/Laboratory Medicine)

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

CORNELIA O. MERTZ DO

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

WILLIAM J PETTIT D.O.

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

SUSAN K REDWOOD PHD

Psychologist

(Health Service)

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

MICHAEL C WEST D.O.

Pediatrics

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

CARYN JEAN ROELOFS DO

Neuromusculoskeletal Medicine & OMM

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-1131

KENNETH E. GRAHAM DO

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-8572

JOAN E STEWART DO

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-8395

DR. LESLEY V VINES D,O.

Family Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

JANA NICOLE BAKER DO

Internal Medicine

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 382-3535

STATE OF OKLAHOMA

Clinic/Center

(Radiology)

2345 SOUTHWEST BLVD
SUITE 100
TULSA, OK
ZIP 74107

(918) 561-5701

HARRIET HUGGARD SHAW DO

Neuromusculoskeletal Medicine & OMM

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-1131

JEFFREY ANDREW SNYDER D.O.

Student in an Organized Health Care Education/Training Program

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-8318

DR. ROY P WARD DO

Surgery

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-8395

TERI LEANN BOURDEAU PH.D.

Psychologist

(Clinical)

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 561-8383

DYLAN MCCONAGHY

Student in an Organized Health Care Education/Training Program

2345 SOUTHWEST BLVD
TULSA, OK
ZIP 74107

(918) 582-1980

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619219359, enumerated as an "organization" on March 20, 2013.

The provider is located at 2345 SOUTHWEST BLVD TULSA, OK 74107 and the phone number is (918) 582-1980.

Special Hospital with taxonomy code 284300000X.