Organization
OSUMC PROFESSIONAL SERVICES LLC
Active
Other names
OSU Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ATKINSON (CEO)
(918) 599-5000
Entity
Organization
Contact information
Practice address
9645 RIVERSIDE PKWY STE C, TULSA, OK 74137-7427
(918) 209-5710
(918) 209-5187
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200308130A
—
OK
Enumeration date
04/29/2010
Last updated
02/18/2026
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