South Tulsa Plastic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH TULSA PLASTIC SURGERY CENTER

Practice address

224 S Gateway PL
Ste 202
Jenks, OK 74037

Phone

(918) 518-5144

Fax

(918) 921-8155

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Schiesel, DONPI 1346476579

Title

Primary Owner/Medical Director

Phone

(918) 200-5454

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Ambulatory surgical center certification: CCN 37C0001084

Legal name

SOUTH TULSA PLASTIC SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 22, 2025

Last certification

Oct 22, 2025

Facility address

224 S Gateway Place
Jenks, OK 74037

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Schiesel, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
  • NPI 1346476579
  NPD Authorized official
• Michael Richard Schiesel, D.O.

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1891959581
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1245093699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S GATEWAY PL",
            "address_2": "STE 202",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-200-5454",
            "fax_number": "918-921-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S GATEWAY PL",
            "address_2": "STE 202",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-518-5144",
            "fax_number": "918-921-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SCHIESEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRIMARY OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-200-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Smith, NP
• Jaina Soodsma
• Trina Souders, SLP
• South Tulsa Chiropractic PC
• South Tulsa Physical Therapy Limited Partnership
• Southside Behavioral Health LLC
• Lana Spandley, PHARMD
• Speech and Beyond MH
• Speech and Beyond, LLC
• Jared Davis Spencer

• Ambulatory Surgical Clinic/Center in Jenks, OK
• Providers in Jenks, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.