Tulsa Dermatology Clinic Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TULSA DERMATOLOGY CLINIC INC

Practice address

2121 E 21St St
Tulsa, OK 74114-1409

Phone

(918) 749-2261

Fax

(918) 749-8712

NPI assigned

Jul 15, 2006

Last updated

May 16, 2008By 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. Lawrence J Gregg, M.D.NPI 1528054467

Title

President

Phone

(918) 749-2261

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Courtney Alexandra Cook, DO

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1285263038
  Medicare reassignment Care Compare group NPD
• Christina G Kendrick, M.D.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1033144183
  Medicare reassignment Care Compare group NPD
• Mark D Lehman, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1932195815
  Medicare reassignment Care Compare group NPD
• Kelli Lovelace, M.D.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1629117528
  Medicare reassignment Care Compare group NPD
• George W Monks, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1891781779
  Medicare reassignment Care Compare group NPD
• Ashwini Kamath Vaidya, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1063495380
  Medicare reassignment Care Compare group NPD
• Emily Kollmann, D.O., M.S.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1326308842

  OK

  Medicare reassignment Care Compare group NPD
• Johnny Creed Stewart, MD

  • Dermatology Physician
  • Joplin, MO
  • NPI 1730157439

  OK

  Medicare reassignment Care Compare group NPD
• Lawrence J Gregg, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1528054467
  Authorized official Same address or phone

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1194741561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52588",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741520588",
            "telephone_number": "918-749-2261",
            "fax_number": "918-749-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141409",
            "telephone_number": "918-749-2261",
            "fax_number": "918-749-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA DERMATOLOGY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-749-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tulsa Day Center for the Homeless Inc
• Tulsa Dental Group, Inc
• Tulsa Dental Implant Center
• Tulsa Dental Implants and Periodontics (Transcend Dental Implants and Periodontics)
• Tulsa Dental Management, Inc.
• Tulsa Diagnostic Imaging
• Tulsa Diagnostics PC
• Tulsa Dialectical Behavior Therapy LLC
• Tulsa Dialysis LLC (Sapulpa Dialysis)
• Tulsa Ear Nose and Throat Center, PC (South Tulsa Ear Nose and Throat Center, PC)

• Dermatology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.