OKLAHOMA SKIN SURGERY & COSMETIC DERMATOLOGY, P.C. (NPI# 1932286069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932286069 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SKIN SURGERY & COSMETIC DERMATOLOGY, P.C. |
| Other Organization Name | DERMATOLOGY SURGERY CENTER |
| Practice Address |
1440 Terrace Dr Tulsa OK 74104-4626 |
| Mailing Address |
Po Box 700390 Tulsa OK 74170-0390 |
| Practice Telephone | 9182939966 |
| Practice Fax Number | 9182939988 |
| Mailing Telephone | 9182939966 |
| Mailing Fax Number | 9182939988 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SCOTT WILLIAM MEYERS (PHYSICIAN) |
| Authorized Official Telephone | 9182939933 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
19511 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Surgery Center | Doing Business As Name - Organization |
| Street Address |
1440 TERRACE DR |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285647586 | Scott William Meyers | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2006-08-15 |
| 1104262526 | Benjamin Bigbie | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750466934 | Advanced Dermatology, Inc | Dermatology | 1030 E Washington Ave, Mcalester, OK 74501-4850 | 2006-10-26 |
| 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 |
| 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 |
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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.