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OSU-AJ WARREN CLINIC PEDIATRICS COWETA
NPI 1659998938
Clinic/Center in Coweta, OK

Active since July 02, 2020
30011 E STATE HIGHWAY 51, COWETA, OK 74429(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osu-aj Warren Clinic Pediatrics Coweta NPPES

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

OSU-AJ WARREN CLINIC PEDIATRICS COWETA (NPI 1659998938) is a healthcare organization registered as a clinic/center in Coweta, Oklahoma and active in the NPI registry since July 2020. The organization lists Eric John Polak, Vise President Of Admin And Finance, as its authorized official.

NPPES Registry Identity

NPI1659998938
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOSU CENTER FOR HEALTH SCIENCES
Location Address30011 E STATE HIGHWAY 51Coweta, OK 74429-7681
Mailing Address2345 Southwest BlvdTulsa, OK 74107-2705 · (918) 561-8306 · Fax (918) 561-5747
Phone(918) 561-8306
Fax(918) 561-5747
Organization SubpartNo
Authorized OfficialEric John PolakVise President Of Admin And Finance · (918) 561-8422
Enumeration DateJuly 2, 2020
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1659998938 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).
30011 E STATE HIGHWAY 51, Coweta, OK 74429
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Other Names 1

Doing Business AsOsu-aj Warren Clinic Pediatrics Coweta

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY ANNE PETERSEN M.D.
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
KIMBERLY DAWN HARRISON DO
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
DR. JACK STEPHEN ALDRIDGE D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
MRS. KATHLEEN MARY MCGOVERN DO
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
RONNIE L CARR D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
DR. KELLIE DAWN VANTUYL D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
BOERJE A. AXELSSON M.D.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
EMILY ANN BOLENDER MD
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161

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 1659998938. It was assigned to this organization in the NPPES registry on July 2, 2020. The provider is doing business as Osu-Aj Warren Clinic Pediatrics Coweta.

Where is Osu Center For Health Sciences located?

Osu Center For Health Sciences is located at 30011 E State Highway 51, Coweta, OK 74429. 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 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.