Glenn Pete Dosser, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9324 Issued in OK

Practice address

6465 S Yale
# 522
Tulsa, OK 74136

Phone

(918) 492-8301

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G. Pete Dosser M.D., Inc.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1285793737
  NPD (past) Authorized official

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1467538843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3478",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741013478",
            "telephone_number": "918-492-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 S YALE",
            "address_2": "# 522",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-492-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSER",
        "first_name": "GLENN",
        "middle_name": "PETE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "9324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ky Goodwin Dorsey, M.D.
• Sarah Dorsey, APRN-CNP
• Shaleen Alyssia Dorsey, LMSW
• Laura Dorwart, NURSE PRACTITIONER
• Richard A Doss, MD
• Edmundblake Dosunmu
• Eric C Dotson, BS, M ED
• Erica Morgan Dotson
• Larry Gene Dotson, MS UNDER LPC SUPERVI
• Pleasure Dotson

• 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 Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.