Active NPI
The Institute of Plastic, Reconstruction, and General Surgery, PC
- Specialist
- Anadarko, OK
National Provider Identifier
1083802839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19687
- Legal business name
- THE INSTITUTE OF PLASTIC, RECONSTRUCTION, AND GENERAL SURGERY, PC
- Practice address
- 1002 E Central Blvd
Anadarko, OK 73005-4405 - Phone
- (405) 247-2551
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Baolien Nguyen Tu
- Title
- Owner
- Phone
- (405) 642-6368
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19687 | OK | Primary |
| Specialist | 174400000X | 19287 | OK |
Addresses
Primary practice location
1002 E Central Blvd
Anadarko, OK 73005-4405
Mailing address
PO Box 10857
Midwest City, OK 73140-1857
Phone (405) 642-6368
Other practice location 1
2308 W Highway 66
Stroud, OK 74079-6729
Phone (918) 968-3571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100746040A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2801 Parklawn Dr
Ste 207
Midwest City, OK 73110
Phone (405) 737-5370
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Anadarko, OK
- NPI 1831130913
-
- Plastic Surgery Physician
- Oklahoma City, OK
- NPI 1427114867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1083802839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10857",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731401857",
"telephone_number": "405-642-6368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054405",
"telephone_number": "405-247-2551"
}
],
"practiceLocations": [
{
"address_1": "2308 W Highway 66",
"address_purpose": "LOCATION",
"city": "Stroud",
"state": "OK",
"postal_code": "740796729",
"country_code": "US",
"telephone_number": "918-968-3571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE INSTITUTE OF PLASTIC, RECONSTRUCTION, AND GENERAL SURGERY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "TU",
"authorized_official_first_name": "BAOLIEN",
"authorized_official_middle_name": "NGUYEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-642-6368"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "19687",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "19287",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100746040A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.