R&R Dermatology Services PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

R&R DERMATOLOGY SERVICES PLLC

Doing business as

Dermatology and aesthetics of oklahoma

Practice address

13301 N Meridian Ave Ste 201
Oklahoma City, OK 73120-8381

Phone

(405) 803-8020

Fax

(405) 437-2332

NPI assigned

Jun 8, 2020

Last updated

Jul 8, 2020By 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. Stacie E Rougas, MDNPI 1194793430

Title

Owner

Phone

(405) 803-8020

Specialties & licenses 1

Addresses

Other names 1

• Dermatology and aesthetics of oklahoma Doing business as

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 11

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.

• Stacie E Rougas, MD

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1194793430
  Medicare reassignment Care Compare group NPD Authorized official
• Andraya Gower, MD

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1235636200
  Medicare reassignment Care Compare group NPD
• Hannah Marie Peacock, PA-C

  • Physician Assistant
  • Moore, OK
  • NPI 1770106619
  Medicare reassignment Care Compare group NPD
• Crystal Hope Fredrickson, PA

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1649329996
  Medicare reassignment Care Compare group
• Michelle Renee Lapidus, P.A.-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1962508457
  Medicare reassignment Care Compare group
• Jennifer Leigh Minshall, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1487784765
  Medicare reassignment Care Compare group
• Bethany J Triana, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1568884047
  Medicare reassignment Care Compare group
• Kaitlyn Deanna White, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1205306404
  Medicare reassignment Care Compare group
• Glenn Alan Koester, MD

  • Procedural Dermatology Physician
  • Edmond, OK
  • NPI 1790892461
  NPD (past)
• Joshua Stephen Weingartner, M.D.

  • Dermatology Physician
  • Norman, OK
  • NPI 1558655779
  NPD (past)
• Kelley L Reberry, PAC

  • Physician Assistant
  • Denver, CO
  • NPI 1710258579
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1831714658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54333",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731541333",
            "telephone_number": "405-803-8020",
            "fax_number": "405-437-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 N MERIDIAN AVE STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208381",
            "telephone_number": "405-803-8020",
            "fax_number": "405-437-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&R DERMATOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "ROUGAS",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-803-8020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology and aesthetics of oklahoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dermatology and aesthetics of oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyson Quy, M.D.
• R Jay Christensen MD PLLC
• R. Don James D.D.S. Inc
• R. Lance Howard, MD PLLC
• R.E.a.L Therapy LLC
• Wynema Marie Ra, LPC, LADC
• Jared Raabe, MD
• Meheroz H Rabadi, M.D.
• Hussein Rabah, M.D.
• Elyse Rabasa

• Dermatology Physician in Oklahoma City, OK
• Providers in Oklahoma 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 Jul 8, 2020; 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.