1. Home
  2. Directory
  3. Oklahoma
  4. Owasso
  5. Surgery
  6. NPI Profile

OSU OWASSO
NPI 1982764171
Surgery in Owasso, OK

Active since December 11, 2006
10512 N. 110TH E. AVE, OWASSO, OK 74055(918) 747-5322 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Osu Owasso NPPES

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

OSU OWASSO (NPI 1982764171) is a healthcare organization registered as a surgery in Owasso, Oklahoma and active in the NPI registry since December 2006. The organization lists Kim Penick, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1982764171
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameOSU OWASSO
Location Address10512 N. 110TH E. AVEOwasso, OK 74055
Mailing Address10512 N. 110th E. AveOwasso, OK 74055
Phone(918) 747-5322
Organization SubpartNo
Authorized OfficialKim PenickAssociate Director · (918) 561-8322
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 16, 2008
✔ NPI 1982764171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10512 N. 110TH E. AVE, Owasso, OK 74055
Open in Google Maps ↗

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

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 Owasso's NPI number?

The NPI number for Osu Owasso is 1982764171. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Osu Owasso located?

Osu Owasso is located at 10512 N. 110th E. Ave, Owasso, OK 74055. The listed phone number is (918) 747-5322.

What is Osu Owasso's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Osu Owasso was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.