DERMATOLOGY ASSOCIATES OF TULSA LLC (NPI# 1336163724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336163724 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF TULSA LLC |
| Practice Address |
8803 S 101st E Ave Ste 335 Tulsa OK 74133-7550 |
| Practice Telephone | 9183070215 |
| Practice Fax Number | 9182507669 |
| Mailing Telephone | 9183070215 |
| Mailing Fax Number | 9182507669 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | DR. EDWARD H YOB (OWNER PRESIDENT) |
| Authorized Official Telephone | 9183070215 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100749090B | 05 | |
| OK | RR MEDICARE | CH9137 | 01 |
| Street Address |
8803 S 101ST E AVE STE 335 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068265 | Southwest Pathology Associates LLC | Pathology | 8803 S 101st E Ave, Tulsa, OK 74133 | 2008-06-27 |
| 1144324625 | Terry R Gerard | Pathology | 8803 S 101st E Ave, Suite 360, Tulsa, OK 74133 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801320106 | Epiphany Dermatology of Oklahoma, LLC | Dermatology | 6717 South Yale Avenue, Suite 101, Tulsa, OK 74136-3318 | 2017-04-13 |
| 1225266307 | Alison Fischer | Dermatology | 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 | 2009-06-26 |
| 1053450957 | Tracy D Kuykendall | Dermatology | 10115 E 80th St, Tulsa, OK 74133-3416 | 2007-02-06 |
| 1467538843 | Glenn Pete Dosser | Dermatology | 6465 S Yale, # 522, Tulsa, OK 74136 | 2006-10-28 |
| 1710900097 | Steven A. Smith, M.d., Dermatology, P.C. | Dermatology | 9940 E 81st Street, Tulsa, OK 74133-4501 | 2006-07-26 |
| 1831121565 | Douglas M. Vaughn | Dermatology | 3915 E 51st St, Tulsa, OK 74135-3605 | 2006-07-06 |
| 1497713671 | Earl Udo Bachenberg | Dermatology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2006-05-03 |
| 1629057690 | Steven Smith | Dermatology | 9940 E 81st St, Tulsa, OK 74133-4501 | 2006-01-10 |
| 1932195815 | Mark D Lehman | Dermatology | 2121 E 21st St, Tulsa, OK 74114-1409 | 2005-09-26 |
| 1598760712 | Bernard N Robinowitz | Dermatology | 9245 S Mingo Rd, Suite 335, Tulsa, OK 74133-5793 | 2005-06-15 |
| Find all providers in TULSA | ||||
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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.