Dermatology Associates of Oklahoma LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC

Practice address

3111 Azalea Park Dr
Muskogee, OK 74401-2284

Phone

(918) 492-6333

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Robert Nevin

Title

Board Member

Phone

(918) 492-6333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1629479258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012284",
            "telephone_number": "918-492-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012284",
            "telephone_number": "918-492-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "NEVIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "918-492-6333"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Remington Dennis, PT
• Dana Denson
• Dental Care of Muskogee, Inc.
• Jennifer Reigh Denton, APN
• Elizabeth Depriest
• Kenyonne Derrick
• Hetal P Desai
• Robin Ann Desilvey
• Stacy Dew
• Karen Emily Dewel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.