Active NPI
Skin Cancer Center, PLLC
- MOHS-Micrographic Surgery Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- SKIN CANCER CENTER, PLLC
- Practice address
- 3209 24TH Ave NW
Norman, OK 73069-6738 - Phone
- (405) 865-4040
- Fax
- (405) 865-4041
- NPI assigned
- Jun 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Bigbie
- Title
- Member
- Phone
- (405) 865-4040
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
3209 24TH Ave NW
Norman, OK 73069-6738
Mailing address
PO Box 720067
Norman, OK 73070-4051
Phone (405) 865-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104262526 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2170367 | Skin Cancer Center, PLLC | Compliance | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
3209 24th Ave NW
Norman, OK 73069
Phone (405) 701-9089
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Norman, OK
- NPI 1104262526
-
- Physician Assistant
- Norman, OK
- NPI 1629887344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1962061440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 720067",
"city": "NORMAN",
"state": "OK",
"postal_code": "730704051",
"telephone_number": "405-865-4040",
"fax_number": "405-865-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 24TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696738",
"telephone_number": "405-865-4040",
"fax_number": "405-865-4041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CANCER CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-10",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "BIGBIE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "405-865-4040"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104262526",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.