Oklahoma Skin Surgery & Cosmetic Dermatology, P.C.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

19511 Issued in OK

Legal business name

OKLAHOMA SKIN SURGERY & COSMETIC DERMATOLOGY, P.C.

Doing business as

Dermatology Surgery Center

Practice address

1440 Terrace Dr
Tulsa, OK 74104-4626

Phone

(918) 293-9966

Fax

(918) 293-9988

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 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

Mrs. Scott William Meyers, M.D.NPI 1285647586

Title

Physician

Phone

(918) 293-9933

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

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.

• Carlos Gomez-Meade, D.O.

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
  • NPI 1023235579
  Medicare reassignment Care Compare group NPD
• Aelayna Meyer, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1043445620

  Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• Scott William Meyers, M.D.

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
  • NPI 1285647586
  Medicare reassignment NPD Authorized official
• Carley Gomez-Meade, D.O.

  • Pediatrics Physician
  • Tulsa, OK
  • NPI 1831391986
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932286069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700390",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700390",
            "telephone_number": "918-293-9966",
            "fax_number": "918-293-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 TERRACE DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044626",
            "telephone_number": "918-293-9966",
            "fax_number": "918-293-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SKIN SURGERY & COSMETIC DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-293-9933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "19511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oklahoma Physical Therapy
• Oklahoma Physicians Eyecare Group, P.C.
• Oklahoma Primary Care Solutions PC (Solstice Living Solutions)
• Oklahoma Psychological Associates
• Oklahoma Rehab Services, Inc. (Oklahoma Rehab Services)
• Oklahoma Sleep Specialists LLC
• Oklahoma Smiles Youth Dentistry, PLLC
• Oklahoma Spine and Brain Institute, LLP
• Oklahoma State Univeristy Medical Center
• Oklahoma State University

• MOHS-Micrographic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• MOHS-Micrographic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.