OSU-AJ DAVID SHADID DO INC
NPI 1962542290
Clinic/Center - Medical Specialty in Tulsa, OK

Active since February 07, 2007
4612 S HARVARD AVE, # A, TULSA, OK 74135(918) 561-8306(918) 561-5747 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Medical Specialty

About OSU-AJ DAVID SHADID DO INC

This page provides the complete NPI Profile along with additional information for Osu-aj David Shadid Do Inc, a provider established in Tulsa, Oklahoma operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1962542290 assigned on February 2007. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Osu-aj David Shadid Do Inc. The authorized official of this NPI record is Eric Polak (Vice President For Admin/finance)

NPI
1962542290 Verify this NPI
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ DAVID SHADID DO INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4612 S HARVARD AVE # A TULSA, OK 74135
Location Phone
(918) 561-8306
Location Fax
(918) 561-5747
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 561-8306
Mailing Fax
(918) 561-5747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2007
Last Update Date
04-07-2016
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

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

ERIC POLAK

Authorized Official Title
VICE PRESIDENT FOR ADMIN/FINANCE
Authorized Official Phone
(918) 561-8422

Reviews for OSU-AJ DAVID SHADID DO INC

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Physical Therapist (Orthopedic)
4612 S HARVARD AVE, STE B
TULSA, OK 74135
Physical Therapist (Orthopedic)
4612 S HARVARD AVE, SUITE B
TULSA, OK 74135
Physical Therapy Assistant
4612 S HARVARD AVE, SUITE B
TULSA, OK 74135
Nurse Practitioner (Psychiatric/Mental Health)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Counselor (Mental Health)
4612 S HARVARD AVE
TULSA, OK 74135
Psychiatry & Neurology (Psychiatry)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Psychologist
4612 S HARVARD AVE
TULSA, OK 74135
Counselor (Professional)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Physical Therapist
4612 S HARVARD AVE, SUITE B
TULSA, OK 74135
Nurse Practitioner (Family)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Psychiatry & Neurology (Psychiatry)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Psychologist (Clinical)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Clinic/Center (Medical Specialty)
4612 S HARVARD AVE
TULSA, OK 74135
Nurse Practitioner (Family)
4612 S HARVARD AVE, STE A
TULSA, OK 74135
Behavior Analyst
4612 S HARVARD AVE
TULSA, OK 74135
Behavior Analyst
4612 S HARVARD AVE
TULSA, OK 74135
Psychiatry & Neurology (Psychiatry)
4612 S HARVARD AVE, STE A
TULSA, OK 74135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962542290, enumerated as an "organization" on February 07, 2007.

The provider is located at 4612 S HARVARD AVE # A TULSA, OK 74135 and the phone number is (918) 561-8306.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.