OSU PHYSICIANS
NPI 1780321893
Clinic/Center - Medical Specialty in Tulsa, OK

Q: What is Oklahoma State University's NPI number?

The NPI number for Oklahoma State University is 1780321893. It was assigned to this organization in the NPPES registry on May 19, 2022. The provider is doing business as Osu Physicians. The provider is also known as OSU Addiction Medicine.

Q: 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.

Active since May 19, 2022CLIA 37D2149602 · Waiver

5310 E 31ST ST STE 1102, TULSA, OK 74135(918) 561-1890(918) 561-1889 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Osu Physicians NPPES

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

OSU PHYSICIANS (NPI 1780321893) is a healthcare organization registered as a medical specialty in Tulsa, Oklahoma and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Eric John Polak, Vp Administrative Affairs, as its authorized official.

NPPES Registry Identity

NPI1780321893

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameOKLAHOMA STATE UNIVERSITY

Location Address5310 E 31ST ST STE 1102Tulsa, OK 74135-5018

Mailing Address5310 E 31st St Fl 13Tulsa, OK 74135-5018 · (918) 561-5701 · Fax (918) 561-1173

Phone(918) 561-1890

Fax(918) 561-1889

Organization SubpartYes

Authorized OfficialEric John PolakVp Administrative Affairs · (918) 561-8422

Enumeration DateMay 19, 2022

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1780321893 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 STE 1102, Tulsa, OK 74135

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Other Names 2

Doing Business AsOsu Physicians

Other NameOsu Addiction Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2149602

Oklahoma State University Addiction Recovery Clinic · Tulsa, OK

Active · expires Jun 6, 2028

CLIA Number37D2149602

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2026

Certificate Expiration DateJune 6, 2028

Laboratory DirectorKelly J. Dunn

Laboratory Phone(918) 561-1890

Laboratory LocationOklahoma State University Addiction Recovery Clinic5310 E 31st St, Ste 1102, Tulsa, OK 74135

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. MEGAN KARA DEITZ LCSW

Social Worker (Clinical)

5310 E 31ST ST STE 1102
TULSA, OK 74135

Tulsa County (918) 561-1890

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 1780321893. It was assigned to this organization in the NPPES registry on May 19, 2022. The provider is doing business as Osu Physicians. The provider is also known as OSU Addiction Medicine.

Where is Oklahoma State University located?

Oklahoma State University is located at 5310 E 31st St Ste 1102, Tulsa, OK 74135. The listed phone number is (918) 561-1890.

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.

Does Oklahoma State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2149602) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oklahoma State University was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.