Individual provider Active NPI

Mary Margaret Christian-Reed, M.D.

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1124038518
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
23102 Issued in OK
Practice address
9306 S Toledo CT
Suite #100
Tulsa, OK 74137-2746
Phone
(918) 494-0400
Fax
(918) 494-0405
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 23102 OK Primary

Addresses

Primary practice location

9306 S Toledo CT
Suite #100
Tulsa, OK 74137-2746

Mailing address

9306 S Toledo CT
Suite #100
Tulsa, OK 74137-2746
Phone (918) 494-0400

Other identifiers 2

IdentifierTypeStateIssuer
200167450AMedicaidOK
37D1014917OtherCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000438 OK Practitioner - Dermatology 0042257602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Geisel School of Medicine at Dartmouth, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Center of OklahomaGroup PAC ID 0547207102, 3 clinicians

Practice addresses (Care Compare)

9306 S Toledo CT
Suite 100
Tulsa, OK 74137-2746
Phone (918) 494-0400

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as individual
Quality
82.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions83
Removal of skin cancer138
Removal or shaving of skin growth11
Skin biopsy34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23102OKMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Laser Center of Oklahoma Mohs-Micrographic Surgery CurrentSince Mar 1, 2003 Accepting new patients

Locations

9306 S Toledo Ct
Tulsa, OK 74137
Phone (918) 494-0400

9306 S Toledo Ct
Ste 100
Tulsa, OK 74137
Phone (918) 494-0400

Interoperability endpoints

  • Direct secure messaging: mreed@dermlaserok.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1124038518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 S TOLEDO CT",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-494-0400",
            "fax_number": "918-494-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 S TOLEDO CT",
            "address_2": "SUITE #100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372746",
            "telephone_number": "918-494-0400",
            "fax_number": "918-494-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN-REED",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "23102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200167450A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "37D1014917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.