Midtown Surgical and Skin Institute PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MIDTOWN SURGICAL AND SKIN INSTITUTE PLLC

Practice address

3336 E 32ND St Ste 250
Tulsa, OK 74135-4448

Phone

(918) 600-0025

Fax

(918) 600-0024

NPI assigned

Jun 17, 2019

Last updated

Dec 30, 2023By 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

Jamie Leeann Hogue, RN

Title

Office Manager

Phone

(918) 600-0025

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19882/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• William Aaron Hanner, D.O.

  • Surgery Physician
  • Tulsa, OK
  • NPI 1528386984
  Medicare reassignment Care Compare group NPD
• Ashley Hoster, APRN, CNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1124814165

  OK

  Medicare reassignment Care Compare group NPD
• Katy E. Trotter, APN

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1386969467
  NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1912567611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E 32ND ST STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354448",
            "telephone_number": "918-600-0025",
            "fax_number": "918-600-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E 32ND ST STE 250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354448",
            "telephone_number": "918-600-0025",
            "fax_number": "918-600-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SURGICAL AND SKIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-600-0025",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200845040A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200346250A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.hanner.1@19882.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email text",
            "address_1": "3336 E 32nd St Ste 250",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741354448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Midtown Dermatology LLC
• Midtown Eyecare
• Midtown Medical Neuropathy, LLC
• Midtown OBGYN
• Midtown Pediatrics, PLLC
• Midtown Tulsa Pediatric Group PLLC
• Midwest Neuro Solutions, PLC
• Midwest Wellness and Wound Care LLC
• Midwest Wellness and Wound Care Medical PC
• Dorothea Jean Mies, PA-C

• Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.