Midtown Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18895 Issued in OK

Legal business name

MIDTOWN DERMATOLOGY LLC

Practice address

2424 E. 21St Street
Suite 340
Tulsa, OK 74114

Phone

(918) 728-3100

Fax

(918) 728-3376

NPI assigned

Mar 28, 2007

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Greta Terhune

Title

Office Manager

Phone

(918) 743-4046

Specialties & licenses 2

Addresses

Other identifiers 1

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 14

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.

• Lynn A Anderson, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1124076161
  Medicare reassignment Care Compare group NPD
• Kelsey Suzanne Baab, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1790308625
  Medicare reassignment Care Compare group NPD
• Jacqueline Guidry, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1538505847

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kristen Rae Rice, M.D.

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1871826115
  Medicare reassignment Care Compare group NPD
• Michelle Collins Walters, MD

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1477538585
  Medicare reassignment Care Compare group NPD
• Lindsay Payton Dilbeck, P.A.

  • Physician Assistant
  • Tulsa, OK
  • NPI 1730366550
  Medicare reassignment Care Compare group
• Shelby Neveaux Pasque, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1386359578

  OK

  Medicare reassignment Care Compare group
• Angel Marie Allen, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1528539475
  NPD (past)
• Rodney Clingan, M.D.

  • Colon & Rectal Surgery Physician
  • Tulsa, OK
  • NPI 1669433421
  NPD (past)
• Matthew Zachary Coburn, M.D.

  • Surgery Physician
  • Tulsa, OK
  • NPI 1255560488
  NPD (past)
• Mark Adrain Kiefer, MD

  • Colon & Rectal Surgery Physician
  • Tulsa, OK
  • NPI 1992896567
  NPD (past)
• Martha Milner Robinson, M.D.

  • Dermatology Physician
  • Okmulgee, OK
  • NPI 1770508772
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1750400230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E. 21ST STREET",
            "address_2": "SUITE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74114",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E. 21ST STREET",
            "address_2": "SUITE 340",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74114",
            "telephone_number": "918-728-3100",
            "fax_number": "918-728-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "TERHUNE",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-743-4046"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "18895",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - PALMETTO GBA",
            "identifier": "CH7333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid America Surgical Systems LLC
• Cassidy Ann Middlebrook
• Tara Kay Middleton, LMSW
• Midtown Dental Studio PLLC
• Midtown Dentistry,Inc
• Midtown Eyecare
• Midtown Medical Neuropathy, LLC
• Midtown OBGYN
• Midtown Pediatrics, PLLC
• Midtown Surgical and Skin Institute PLLC

• 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 23, 2025; 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.