OSU-AJ TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC.
NPI 1710384672
Clinic/Center in Tahlequah, OK

NPI Status: Active since November 20, 2014

Contact Information

1373 E BOONE ST
SUITE #3401
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 561-8306
Fax: (918) 561-5747

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About OSU-AJ TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC.

This page provides the complete NPI Profile along with additional information for Osu-aj Tahlequah Orthopedic Surgery Services, Llc., a provider established in Tahlequah, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1710384672 assigned on November 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Osu-aj Tahlequah Orthopedic Surgery Services, Llc.. The authorized official of this NPI record is Eric Polak (Vice President For Admin & Finance)

NPI
1710384672
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1373 E BOONE ST SUITE #3401 TAHLEQUAH, OK 74464
Location Phone
(918) 561-8306
Location Fax
(918) 561-5747
Mailing Address
2345 SOUTHWEST BLVD TULSA, OK 74107
Mailing Phone
(918) 561-8306
Mailing Fax
(918) 561-5747
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-20-2014
Last Update Date
03-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Premier Silver - EPO
  • Premier Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC POLAK

Authorized Official Title
VICE PRESIDENT FOR ADMIN & FINANCE
Authorized Official Phone
(918) 561-8422

Reviews for OSU-AJ TAHLEQUAH ORTHOPEDIC SURGERY SERVICES, LLC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710384672
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720688614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 8 + 8 + 6 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1710384672 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447428537 GARY SCOTT TAGGART PA-C
Individual
Physician Assistant (Surgical)1373 E BOONE ST SUITE 3401
TAHLEQUAH, OK 74464
(918) 456-6848
1457399859CARDIOVASCULAR SURGICAL SPECIALISTS CORP
Organization
Specialist1373 E BOONE ST SUITE 3400
TAHLEQUAH, OK 74464
(918) 456-9500
1124061551DR. GEORGE SHAKER COHLMIA JR. M.D.
Individual
Specialist1373 E BOONE ST SUITE 3400
TAHLEQUAH, OK 74464
(918) 456-9500
1063725901DR. BILAL AZIZ MD
Individual
Internal Medicine (Nephrology)1373 E BOONE ST SUITE 1201
TAHLEQUAH, OK 74464
(918) 207-1189
1740515378PLATTE DIALYSIS LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1373 E BOONE ST
TAHLEQUAH, OK 74464
(918) 431-0665

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710384672, enumerated in the NPI registry as an "organization" on November 20, 2014

The provider is located at 1373 E Boone St Suite #3401 Tahlequah, Ok 74464 and the phone number is (918) 561-8306

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 20, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.