Healthy Skin Dermatology of Oklahoma PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HEALTHY SKIN DERMATOLOGY OF OKLAHOMA PLLC

Practice address

13933 Technology Dr Ste B
Oklahoma City, OK 73134-1053

Phone

(405) 673-4980

Fax

(847) 787-1484

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Farley Prater, MDNPI 1699971911

Title

Owner

Phone

(405) 673-4980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Prater, M.D.

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1699971911
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1184271793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 TECHNOLOGY DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341053",
            "telephone_number": "405-673-4980",
            "fax_number": "847-787-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13933 TECHNOLOGY DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341053",
            "telephone_number": "405-673-4980",
            "fax_number": "847-787-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SKIN DERMATOLOGY OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FARLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-673-4980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Life Interventions LLC
• Healthy Life Transitions LLC
• Healthy Life Transitions LLC
• Healthy Minds Grateful Guidance
• Healthy Options for Prevention and Effective Treatment Oklahoma
• Healthyspan LLC (Apex Psychiatry)
• Patricia Ann Healy, MOTRL
• Amanda Heaney
• Mark David Heaney, L.P.C.
• Rebecca Elise Heaney

• Medical Specialty Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.