OSU-AJ SMC SPORTS MEDICINE CLINIC
NPI 1912448887
Clinic/Center in Stillwater, OK

NPI Status: Active since March 13, 2017

Contact Information

511 WINDSOR DR
STILLWATER, OK
ZIP 74074
Phone: (918) 561-8306
Fax: (918) 561-5747

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About OSU-AJ SMC SPORTS MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Osu-aj Smc Sports Medicine Clinic, a provider established in Stillwater, Oklahoma operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1912448887 assigned on March 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Osu-aj Smc Sports Medicine Clinic. The authorized official of this NPI record is Eric Polak (Vice President For Admin/finance)

NPI
1912448887
Provider Legal Name
OSU CENTER FOR HEALTH SCIENCES
Other Organization Name
OSU-AJ SMC SPORTS MEDICINE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
511 WINDSOR DR STILLWATER, OK 74074
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
03-13-2017
Last Update Date
03-13-2017
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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 SMC SPORTS MEDICINE CLINIC

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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.
1912448887
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29228416816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 8 + 4 + 1 + 6 + 8 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1912448887 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427032549 SCOTT N. STUBBS M. D.
Individual
Orthopaedic Surgery511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1508840745 TERRA R. ZERR PA-C
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1942284021 KENNETH W. ROBERTS P.T.
Individual
Physical Therapist (Orthopedic)511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1891855722ORTHOOKLAHOMA P C
Organization
Orthopaedic Surgery511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1336288133 MARK PADEN M.D.
Individual
Orthopaedic Surgery511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1851540256 MICHAEL WAYNE HAFNER P.A.
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1114289782 MEGAN ELIZABETH RIPLEY DPT
Individual
Physical Therapist (Orthopedic)511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1659355493 JOE A. OGLE PT
Individual
Physical Therapist (Orthopedic)511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1124569090OSU CENTER FOR HEALTH SCIENCES
Organization
Clinic/Center511 WINDSOR DR
STILLWATER, OK 74074
(918) 561-8306
1801075262 KAYLA DIANE HARDESTY P.A-C, PT
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1659631448 ADAM HUSKERSON MD
Individual
Family Medicine (Sports Medicine)511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1336617562 JASMINE BRAMAN DPT
Individual
Physical Therapist511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1891069514MISS KARLI ALIN THOMPSON PA
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1174121677 CHRISTEN NELSON PA-C
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1649736489 LINDSAY RAE AUGUSTINE
Individual
Specialist/Technologist (Athletic Trainer)511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1407242027MISS BRITTANY ANNE PRATT PT, DPT
Individual
Physical Medicine & Rehabilitation511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1487184537 JOHN JORDAN STIVERS MD
Individual
Orthopaedic Surgery511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900
1184110298 JORDAN LYNNE GALLINIS PA
Individual
Physician Assistant511 WINDSOR DR
STILLWATER, OK 74074
(405) 707-0900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912448887, enumerated in the NPI registry as an "organization" on March 13, 2017

The provider is located at 511 Windsor Dr Stillwater, Ok 74074 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 March 13, 2017. 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.