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OSUMC PROFESSIONAL SERVICES LLC
NPI 1730793696
Family Medicine in Okmulgee, OK

Active since September 08, 2020
112 W 5TH STREET, OKMULGEE, OK 74447(918) 752-1080(918) 752-1081 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Osumc Professional Services Llc NPPES

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

OSUMC PROFESSIONAL SERVICES LLC (NPI 1730793696), doing business as Osu Medical Group, is a healthcare organization registered as a family medicine in Okmulgee, Oklahoma and active in the NPI registry since September 2020. The organization lists Samantha Kay Overfield, Credentialing Administrator, as its authorized official.

NPPES Registry Identity

NPI1730793696
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOSUMC PROFESSIONAL SERVICES LLC
Location Address112 W 5TH STREETOkmulgee, OK 74447-0000
Mailing Address2401 Southwest BlvdTulsa, OK 74107-2726 · (918) 561-5701 · Fax (918) 561-1173
Phone(918) 752-1080
Fax(918) 752-1081
Organization SubpartYes
Authorized OfficialSamantha Kay OverfieldCredentialing Administrator · (918) 561-5714
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1730793696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
112 W 5TH STREET, Okmulgee, OK 74447
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Other Names 1

Doing Business AsOsu Medical Group

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

Other Providers at the Same Location NPPES

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

OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
112 W 5TH STREET
OKMULGEE, OK 74447
Okmulgee County (918) 561-8306

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 Osumc Professional Services LLC's NPI number?

The NPI number for Osumc Professional Services LLC is 1730793696. It was assigned to this organization in the NPPES registry on September 8, 2020. The provider is doing business as OSU Medical Group.

Where is Osumc Professional Services LLC located?

Osumc Professional Services LLC is located at 112 W 5th Street, Okmulgee, OK 74447. The listed phone number is (918) 752-1080.

What is Osumc Professional Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Osumc Professional Services LLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.