Organization · Type 2 NPI

Osumc Professional Services LLC

Sports Medicine (Family Medicine) Physician · Sand Springs, OK

NPI number 1154845501 Active

Practice location

514 Plaza Ct
Sand Springs, OK 74063-7915

Fax (918) 215-5105

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	5451 (OK)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

4 other providers at this address

NPI record

NPI: 1154845501
Entity type: Organization (Type 2)
Issued: Jul 27, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Osumc Professional Services LLC

Other names

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Osu Medical Group Sand Springs Primary Care · doing business as

Authorized official

Samantha Overfield
Credentialing Administrator
(918) 561-5714

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154845501

Osumc Professional Services LLC's National Provider Identifier is 1154845501, issued on Jul 27, 2017. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Sand Springs, OK. The record was last updated on Jul 21, 2022.