MEDICARE: OSU CENTER FOR HEALTH SCIENCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1912211475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSU CENTER FOR HEALTH SCIENCES

Provider Business Mailing Address
First Line	:	2345 SOUTHWEST BLVD
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74107-2705
Country	:	US
Telephone Number	:	918-561-8306
Fax Number	:	918-561-5747

Provider Business Practice Location Address
First Line	:	8803 S 101ST EAST AVE STE 245
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5730
Country	:	US
Telephone Number	:	918-561-8306
Fax Number	:	918-561-5747

Authorized Official
Title or Position	:	CFO OSU PHYSICIANS
Name	:	ERIC POLAK
Credential	:
Telephone Number	:	918-561-8422

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	03/21/2016

Similar Medicare Providers

1134198195 — KATHLEEN ANN BOYLS M.D.
Practice Location Address:

8803 S 101ST EAST AVE STE 200
TULSA, OK
74133-5730

Practice Phone: 918-307-2273
Practice Fax: 918-307-0273

1720015415 — DR. WILLIAM KEITH HARRIS II M.D.
Practice Location Address:

8803 S 101ST EAST AVE STE 245
TULSA, OK
74133-5730

Practice Phone: 918-858-0008
Practice Fax: 918-858-0074

1649344367 — OSU CENTER FOR HEALTH SCIENCES
Practice Location Address:

8803 S 101ST EAST AVE STE 200
TULSA, OK
74133-5730

Practice Phone: 918-561-8306
Practice Fax: 918-561-5747

1740545722 — DR. TIMMENI LYNN STEVENS D.O.
Practice Location Address:

8803 S 101ST EAST AVE STE 245
TULSA, OK
74133-5730

Practice Phone: 918-858-0008
Practice Fax: 918-858-0074

1376006494 — JESSICA MARIE KOSHY DO
Practice Location Address:

8803 S 101ST EAST AVE STE 245
TULSA, OK
74133-5730

Practice Phone: 918-858-0008
Practice Fax:

1285359547 — MICHELLE N EVANS APRN-CPN
Practice Location Address:

8803 S 101ST EAST AVE STE 200
TULSA, OK
74133-5730

Practice Phone: 918-307-2273
Practice Fax:

Directions to “OSU CENTER FOR HEALTH SCIENCES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.