Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Osumc Professional Services LLC

Organization Family Medicine Physician · NPI 1730793696

Osumc Professional Services LLC is a Family Medicine Physician in Okmulgee, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 W 5th St
Okmulgee, OK 74447-0000
Phone: (918) 752-1080
Fax: (918) 752-1081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1730793696
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOsumc Professional Services LLC
Authorized official Samantha Overfield — Credentialing Administrator · (918) 561-5714
Other names Osu Medical Group
NPI enumeratedSeptember 8, 2020
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 2, 2020
Mailing address2401 Southwest Blvd, Tulsa, OK 74107-2726

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