Organization Active NPI

The Institute of Plastic, Reconstruction, and General Surgery, PC

  • Specialist
  • Anadarko, OK
National Provider Identifier
1083802839
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19687 Issued in OK
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

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Baolien Nguyen TuNPI 1831130913
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 19687 OK Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100746040AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000341 OK Part B Supplier - Clinic/Group Practice 4981771896 Receives reassigned benefits from 2 practitioners
Practice locations: Anadarko, OK; Stroud, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.