Organization Active NPI

Cosmetic & Vein Center of Oklahoma

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1447588256
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COSMETIC & VEIN CENTER OF OKLAHOMA
Practice address
6304 E 102ND St
Tulsa, OK 74137-7061
Phone
(918) 298-8080
Fax
(918) 528-3841
NPI assigned
Dec 7, 2009
Last updated
Jun 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Authorized official

Name
Ladd Clayton Atkins, DONPI 1912198375
Title
Owner
Phone
(918) 298-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OK Primary

Addresses

Primary practice location

6304 E 102ND St
Tulsa, OK 74137-7061

Mailing address

6304 E 102ND St
Tulsa, OK 74137-7061
Phone (918) 298-8080

Other identifiers 1

IdentifierTypeStateIssuer
200273820BMedicaidOK

National Provider Directory

National Provider Directory

Locations

1801 W 40th Ave
Ste 7A
Pine Bluff, AR 71603
Phone (870) 534-6700

2036 S Miller Ln
Ste A
Catoosa, OK 74015
Phone (918) 298-8080

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1447588256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-298-8080",
            "fax_number": "918-528-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-298-8080",
            "fax_number": "918-528-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & VEIN CENTER OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "LADD",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-298-8080",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200273820B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.