OSU-AJ SMC SPORTS MEDICINE CLINIC
NPI 1912448887
Clinic/Center in Stillwater, OK

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261Q00000X.

Active since March 13, 2017

511 WINDSOR DR, STILLWATER, OK 74074(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Osu-aj Smc Sports Medicine Clinic NPPES

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

OSU-AJ SMC SPORTS MEDICINE CLINIC (NPI 1912448887) is a healthcare organization registered as a clinic/center in Stillwater, Oklahoma and active in the NPI registry since March 2017. The organization lists Eric Polak, Vice President For Admin/finance, as its authorized official.

NPPES Registry Identity

NPI1912448887

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameOSU CENTER FOR HEALTH SCIENCES

Location Address511 WINDSOR DRStillwater, OK 74074-6962

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 PolakVice President For Admin/finance · (918) 561-8422

Enumeration DateMarch 13, 2017

✔ NPI 1912448887 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).

511 WINDSOR DR, Stillwater, OK 74074

Open in Google Maps ↗