Organization Active NPI

Yaohan Lam Dermatology PLLC

Doing business as Lam Dermatology and Associates

  • Medical Specialty Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1811307176
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
YAOHAN LAM DERMATOLOGY PLLC
Doing business as
Lam Dermatology and Associates
Practice address
926 SW 107TH St Ste 100
Oklahoma City, OK 73170-5244
Phone
(405) 735-9788
Fax
(405) 735-9882
NPI assigned
May 7, 2014
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Yaohan Lam, M.D.NPI 1285954305
Title
Owner
Phone
(405) 361-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 27838 OK
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

926 SW 107TH St Ste 100
Oklahoma City, OK 73170-5244

Mailing address

926 SW 107TH St Ste 100
Oklahoma City, OK 73170-5244
Phone (405) 735-9788

Other practice location 1

1290 W Covell Rd Ste 208
Edmond, OK 73003-3556
Phone (405) 888-5155

Other practice location 2

3960 W Tecumseh Rd Ste 120
Norman, OK 73072-1787
Phone (405) 217-3886

Other names 1

  • Lam Dermatology and Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140909000067 OK Part B Supplier - Clinic/Group Practice 2860611712 Receives reassigned benefits from 6 practitioners
Practice locations: Edmond, OK; Norman, OK; Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2081501Lam Dermatology & Associates926 SW 107TH St, Ste 100, Oklahoma City, OK 73170Provider-performed microscopyJun 3, 2027

National Provider Directory

National Provider Directory

Locations

1296 W Covell Rd
#208
Edmond, OK 73003
Phone (405) 735-9788

3960 W Tecumseh Rd
Ste 120
Norman, OK 73072
Phone (405) 217-3886

926 SW 107th St
Ste 100
Oklahoma City, OK 73170
Phone (405) 735-9788

2201 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 703-4777

926 SW 107th St
#100
Oklahoma City, OK 73170
Phone (405) 735-9788

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1811307176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 SW 107TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705244",
            "telephone_number": "405-735-9788",
            "fax_number": "405-735-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 SW 107TH ST STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731705244",
            "telephone_number": "405-735-9788",
            "fax_number": "405-735-9882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 W Covell Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033556",
            "country_code": "US",
            "telephone_number": "405-888-5155",
            "fax_number": "405-888-5161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 W Tecumseh Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730721787",
            "country_code": "US",
            "telephone_number": "405-217-3886",
            "fax_number": "405-217-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YAOHAN LAM DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "YAOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-361-8806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "27838",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lam Dermatology and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.