Kreitzberg Plastic Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

KREITZBERG PLASTIC SURGERY LLC

Practice address

8010 S 101St East Ave Ste 100
Tulsa, OK 74133-4562

Phone

(918) 940-4700

Fax

(303) 557-6216

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Scott A Kreitzberg, DO

Title

DO/Owner

Phone

(918) 940-4700

Specialties & licenses 1

Addresses

Practitioners 2

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

• Rola E Eid, DO

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
  • NPI 1760644637
  NPD (past)
• Archibald Sanford Miller III, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
  • NPI 1336169952
  NPD (past)

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1699390963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-940-4700",
            "fax_number": "303-557-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 S 101ST EAST AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334562",
            "telephone_number": "918-940-4700",
            "fax_number": "303-557-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREITZBERG PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "KREITZBERG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "918-940-4700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Krebs, PTA
• Kristi A Krebs, PA
• Elizabeth Kregenow
• Mary R Kreilaus, MSW
• Christy Kreis
• Jessica Ann Kreitzberg, DO
• Scott A Kreitzberg, D.O.
• Rebecca Krenek
• Scott Kreps
• Timothy Ryan Kreps

• Plastic and Reconstructive Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic and Reconstructive Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.