NPIMap

Organization Active NPI

Abbott Dermatology P C

  • Dermatopathology Physician
  • Oklahoma City, OK
National Provider Identifier
1982658167
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
17800 Issued in OK
Legal business name
ABBOTT DERMATOLOGY P C
Practice address
3500 S Western Ave
Oklahoma City, OK 73109-2413
Phone
(405) 632-5565
Fax
(405) 632-3538
NPI assigned
May 20, 2006
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig Leon Abbott, M.D.NPI 1962453795
Title
Physician
Phone
(405) 632-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 17800 OK
MOHS-Micrographic Surgery Physician 207ND0101X 17800 OK
Dermatopathology Physician 207ND0900X 17800 OK Primary
Procedural Dermatology Physician 207NS0135X 17800 OK

Addresses

Primary practice location

3500 S Western Ave
Oklahoma City, OK 73109-2413

Mailing address

3500 S Western Ave
Oklahoma City, OK 73109-2413
Phone (405) 632-5565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1982658167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731092413",
            "telephone_number": "405-632-5565",
            "fax_number": "405-632-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731092413",
            "telephone_number": "405-632-5565",
            "fax_number": "405-632-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT DERMATOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-632-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "17800",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OK",
            "license": "17800",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OK",
            "license": "17800",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OK",
            "license": "17800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.