Skin Surgery Center of Oklahoma, P.C.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

SKIN SURGERY CENTER OF OKLAHOMA, P.C.

Practice address

13100 N Western Ave Ste 301
Oklahoma City, OK 73114-1432

Phone

(405) 947-6647

Fax

(405) 948-6647

NPI assigned

Sep 18, 2009

Organization subpart

No

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

Authorized official

Name

Brandon Rhinehart, D.O.NPI 1104814045

Title

President

Phone

(405) 947-6647

Specialties & licenses 2

Addresses

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 2

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

• Brandon Rhinehart, D.O.

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
  • NPI 1104814045

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Paige Elizabeth Beverly, PA-C

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1962869313
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1407180748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141432",
            "telephone_number": "405-947-6647",
            "fax_number": "405-948-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 301",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141432",
            "telephone_number": "405-947-6647",
            "fax_number": "405-948-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SURGERY CENTER OF OKLAHOMA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "RHINEHART",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-947-6647",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "4552",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily C Skidmore
• Mary E. Skidmore, LCSW
• Skies the Limit
• Kimberly Paige Skillern
• Linda Jean Skillingstad
• Emily Lauren Skinner, PA-C
• Holly Breanne Skinner, IBCLC
• Jacqueline Marie Skinner, PHARMD
• Justin Skinner
• Rain Skinner, LMSW; MSW U/S

• MOHS-Micrographic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• MOHS-Micrographic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.