BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED – NPI #1013005388
Clinic/Center

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).

BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED is an AHC clinic located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1013005388 to BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED is also known by the name OU PHYSICIANS ADOLESCENT MEDICINE. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 14 years ago on Sep 06, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED below.

NPI Profile for
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED

NPI Number
1013005388
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED
Other Name: OU PHYSICIANS ADOLESCENT MEDICINE
Primary location
1200 CHILDREN'S AVENUE
SUITE 7500
OKLAHOMA CITY, OK 73104
Phone: (405) 271-2006 Fax:
Mailing address
1122 NE 13
ORI236
OKC, OK 73117
Phone: (405) 271-1515 Fax:
Organization Subpart
No
Authorized Official
BRIAN MADDY
CHIEF EXECUTIVE OFFICER
Phone: (405) 271-1515
Updated
Identifiers

Identifiers for BOARD OF REGENTS OF THE UNIV OF OKLAHOMA-OU PHYSICIANS ADOLESCENT MED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200021910A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.