# OSUMC PROFESSIONAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922325992
- **Authorized official:** ERIC ATKINSON (CEO)
- **Authorized official phone:** (918) 599-5000

## Contact information

- **Practice address:** 9645 RIVERSIDE PKWY STE C, TULSA, OK 74137-7427
- **Practice address phone:** (918) 209-5710
- **Practice address fax:** (918) 209-5187
- **Mailing address:** 5310 E 31ST ST FL 13, TULSA, OK 74135-5018
- **Mailing address phone:** (918) 561-5701
- **Mailing address fax:** (918) 561-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 02/18/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200308130A | — | OK |