NPIMap

Organization Active NPI

Cosmetic Center of Tulsa LLC

Doing business as Face and Body Medical Aesthetics and Cosmetic Surgery

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1780018465
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4362 Issued in OK
Legal business name
COSMETIC CENTER OF TULSA LLC
Doing business as
Face and Body Medical Aesthetics and Cosmetic Surgery
Practice address
9906 Riverside Pkwy
Tulsa, OK 74137-7409
Phone
(918) 298-8080
Fax
(918) 528-3841
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Jennifer A Cushman
Title
Office Manager
Phone
(918) 298-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4362 OK Primary

Addresses

Primary practice location

9906 Riverside Pkwy
Tulsa, OK 74137-7409

Mailing address

9906 Riverside Pkwy
Tulsa, OK 74137-7409
Phone (918) 298-8080

Other names 1

  • FACE AND BODY MEDICAL AESTHETICS AND COSMETIC SURGERY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1780018465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377409",
            "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": "9906 RIVERSIDE PKWY",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377409",
            "telephone_number": "918-298-8080",
            "fax_number": "918-528-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC CENTER OF TULSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "CUSHMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-298-8080"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FACE AND BODY MEDICAL AESTHETICS AND COSMETIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2013; 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.