CAGR MEDICAL, PLLC (NPI# 1619372026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619372026 |
| Entity Type | Organization |
| Organization Name | CAGR MEDICAL, PLLC |
| Other Organization Name | SOUTHWESTERN DERMATOLOGY |
| Practice Address |
8315 S Walker Ave Oklahoma City OK 73139-9449 |
| Practice Telephone | 4056361506 |
| Practice Fax Number | 4056361511 |
| Mailing Telephone | 4056361506 |
| Mailing Fax Number | 4056361511 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | CARRIE KRAPFF (ADMINISTRATOR) |
| Authorized Official Telephone | 4056361506 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
21472 | OK | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
21472 | OK | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 21472 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southwestern Dermatology | Doing Business As Name - Organization |
| Street Address |
8315 S WALKER AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-9449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669667689 | Richard B. Dawson, M.d. and Associates, Inc. | Clinic/Center | 8315 S Walker Ave, Oklahoma City, OK 73139-9449 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| 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 |
|---|---|---|---|---|
| 1205320579 | Leslie Rainbolt | Dermatology | 6821 Nw Grand Blvd, Oklahoma City, OK 73116-5413 | 2018-06-19 |
| 1871012955 | Ssm Health Care of Oklahoma Inc | Dermatology | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-09-11 |
| 1962869313 | Paige Elizabeth Beverly | Dermatology | 13100 N Western Ave Ste 301, Oklahoma City, OK 73114-1432 | 2016-01-15 |
| 1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
| 1770845729 | Saints Medical Group LLC | Dermatology | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2012-06-14 |
| 1285954305 | Yaohan Lam | Dermatology | 2201 Sw 119th St Ste A, Oklahoma City, OK 73170-3438 | 2010-06-11 |
| 1407180748 | Skin Surgery Center of Oklahoma, P.C. | Dermatology | 5701 N Portland Ave Ste 301, Oklahoma City, OK 73112-1670 | 2009-09-18 |
| 1356449086 | Otobia Gifty Dimson | Dermatology | 5005 N Pennsylvania Ave Ste 105, Oklahoma City, OK 73112-8886 | 2006-09-20 |
| 1750487880 | Dermatology Clinic Inc A Professional Corp | Dermatology | 5701 N Portland Ave Ste 310, Oklahoma City, OK 73112-1670 | 2006-09-16 |
| 1477564797 | Clarence L Wiley Sr. | Dermatology | 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425 | 2006-08-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
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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.