Buster Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BUSTER DERMATOLOGY PC

Practice address

3915 E 51St St
Tulsa, OK 74135-3605

Phone

(918) 749-5714

Fax

(918) 749-5826

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Kesha J Buster, MD

Title

Owner

Phone

(918) 749-5714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1801292255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353605",
            "telephone_number": "918-749-5714",
            "fax_number": "918-749-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353605",
            "telephone_number": "918-749-5714",
            "fax_number": "918-749-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSTER DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BUSTER",
        "authorized_official_first_name": "KESHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-5714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Buss
• Danell Bussey, M.S.,CCC-SLP
• Andrew Bussman, OT
• G Chris Bussman, DDS
• Bust Stop
• Baron Wayne Buster
• Kesha J Buster, M.D.
• Jessee Kathryne Bustinza, D.O.
• Mario Andres Bustos Rodriguez, M.D.
• Gabriel Busuioc, CRNA

• 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 Jul 13, 2015; 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.