Midwest Dermatology Incorporated PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18006 Issued in OK

Legal business name

MIDWEST DERMATOLOGY INCORPORATED PC

Practice address

8855 E Reno Avenue
Suite 200
Midwest City, OK 73110-7724

Phone

(405) 737-8877

Fax

(405) 737-4780

NPI assigned

Oct 29, 2007

Last updated

Apr 30, 2009By 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

Dr. Steven H Sutter, MD

Title

President

Phone

(405) 737-8877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1821277666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVENUE",
            "address_2": "SUITE 200",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-737-8877",
            "fax_number": "405-737-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVENUE",
            "address_2": "SUITE 200",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107724",
            "telephone_number": "405-737-8877",
            "fax_number": "405-737-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DERMATOLOGY INCORPORATED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-737-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "18006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest City Hma Physician Management, LLC (Sooner Medical Management)
• Midwest City Hma, Inc.
• Midwest City Kidney Clinic PLLC (Midwest Nephrology Associate)
• Midwest City Post Acute & Rehab LLC
• Midwest City Specialists, LLC (Endodontics and Dental Implants of Oklahoma)
• Midwest Hma Home Health, LLC (Midwest Regional Home Health)
• Midwest Medical Group PLLC
• Midwest Nephrology Associates PC
• Midwest Nephrology Group PLLC
• Midwest Oncology Group, PLLC

• Dermatology Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.