DR. CARLOS ANDRES GARCIA (NPI# 1013985217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013985217 |
| Entity Type | Individual |
| Full Name | DR. CARLOS ANDRES GARCIA |
| Credential | MD |
| Practice Address |
4805 S Western Ave Oklahoma City OK 73109-3835 |
| Practice Telephone | 4056361506 |
| Practice Fax Number | 4056361511 |
| Mailing Telephone | 4056361506 |
| Mailing Fax Number | 4056361511 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 21472 | OK | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
21472 | OK | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
21472 | OK | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
21472 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590023 | Carlos Antonio-palting Garcia | Nurse Practitioner | 8101 Cameron Rd Ste 101, Austin, TX 78754-3816 | 2018-09-05 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1336526425 | Carlos Garcia | Chiropractor | 7817 Pacific Ave Ste A, Tacoma, WA 98408-7028 | 2015-04-28 |
| 1972915155 | Carlos Garcia Jr. | Behavioral Analyst | 9280 Hammocks Blvd Suite 101, Miami, FL 33196 | 2014-05-22 |
| 1336300540 | Carlos Garcia | Dentist | 3600 N Verdugo Rd Ste 105, Glendale, CA 91208-1258 | 2008-06-19 |
| 1417072455 | Carlos Juan Garcia | Dentist | Ave Fragoso Villa Fontana Plaza Carolina Mall, Suite 27 Third Level, Carolina, PR 00983 | 2007-03-20 |
| 1811021728 | Carlos F Garcia | Dentist | 1270 Picador Blvd Ste L&m, San Diego, CA 92154-3565 | 2007-03-15 |
| 1023171782 | Carlos Tomas Garcia | Pharmacist | 120 Mays Landing Rd, Stockbridge, GA 30281-2500 | 2006-12-17 |
| Street Address |
4805 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613822 | Joe Randall Monroe | Physician Assistant | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2005-07-14 |
| 1841689510 | Ruth Bertram Laird | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2015-01-17 |
| 1659779973 | Dermatology Associates of Oklahoma LLC | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2014-12-18 |
| 1821245515 | Cary Moore Cuddeback | Audiologist | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2008-08-25 |
| 1386719466 | Nancy Lynne Dawson | Dermatology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2006-11-22 |
| 1508964289 | Richard Beach Dawson | Otolaryngology | 4805 S Western Ave, Oklahoma City, OK 73109-3835 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831349281 | Susannah L Collier Md Pllc | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2008-09-23 |
| 1598776866 | James B. Stewart, Jr., M.d., P.C. | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750466934 | Advanced Dermatology, Inc | Dermatology | 1030 E Washington Ave, Mcalester, OK 74501-4850 | 2006-10-26 |
| 1285647586 | Scott William Meyers | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2006-08-15 |
| 1124038518 | Mary Margaret Christian-reed | Dermatology | 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 | 2006-08-08 |
| 1962061440 | Skin Cancer Center, Pllc | Dermatology | 2404 Palmer Cir, Norman, OK 73069-6301 | 2019-06-10 |
| 1104291236 | Oklahoma Cancer Specialists and Research Institute LLC | Dermatology | 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974 | 2015-12-01 |
| 1023378759 | Robert Fischer | Dermatology | 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 | 2012-05-29 |
| 1942335773 | Dermatology and Laser Center of Oklahoma | Dermatology | 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 | 2007-02-22 |
| 1932286069 | Oklahoma Skin Surgery & Cosmetic Dermatology, P.C. | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2006-11-01 |
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.