AESTHETIC SURGERY OF TULSA, PLLC (NPI# 1164651394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164651394 |
| Entity Type | Organization |
| Organization Name | AESTHETIC SURGERY OF TULSA, PLLC |
| Practice Address |
6802 S Olympia Ave Suite G113 Tulsa OK 74132-1823 |
| Mailing Address |
11913 S Sandusky Ave Tulsa OK 74137-1801 |
| Practice Telephone | 9189603033 |
| Practice Fax Number | 9189603035 |
| Mailing Telephone | 9185040364 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Authorized Official Name | ROBERT E MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 9185040364 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
22998 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
6802 S OLYMPIA AVE SUITE G113 |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061603 | Clinton Scott Anthony | Anesthesiology | 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 | 2005-05-23 |
| 1790199560 | Jaye Bea Downs | Otolaryngology | 6802 S Olympia Ave, Tulsa, OK 74132-1823 | 2014-06-19 |
| 1881024727 | Tulsa Hills Pharmacy LLC | Pharmacy | 6802 S Olympia Ave, Ste 125, Tulsa, OK 74132-1823 | 2013-11-13 |
| 1700135407 | John Rogers Dds PC | Dentist | 6802 S Olympia Ave, Suite 275, Tulsa, OK 74132-1823 | 2012-09-10 |
| 1275807562 | Warren Steven Silberman | Preventive Medicine | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1823 | 2012-03-04 |
| 1275827768 | Janet Carol Tipton | Speech-Language Pathologist | 6802 S Olympia Ave, Ste 275, Tulsa, OK 74132-1823 | 2011-06-02 |
| 1225333867 | Edb Nursing,plc | Home Health | 6802 S Olympia Ave, 300, Tulsa, OK 74132-1823 | 2011-01-12 |
| 1780903633 | Stephanie Marie Hewett | Audiologist | 6802 S Olympia Ave, Ste 275, Tulsa, OK 74132-1823 | 2010-05-18 |
| 1679890701 | Daniel Martin Harwell | Neurological Surgery | 6802 S Olympia Ave, Suite #300, Tulsa, OK 74132-1826 | 2010-04-29 |
| 1710217732 | Nicole Diane Streich | Speech-Language Pathologist | 6802 S Olympia Ave, Ste. 275, Tulsa, OK 74132-1823 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| Find all providers in zip 74132 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390963 | Kreitzberg Plastic Surgery LLC | Surgery | 6585 S Yale Ave Ste 315, Tulsa, OK 74136-8316 | 2020-06-12 |
| 1346476579 | Brenda Schiesel | Surgery | 10131 S Yale Ave Ste B, Tulsa, OK 74137-6007 | 2009-06-02 |
| 1568479384 | Stephen Murray Paulsen | Surgery | 6585 S Yale Ave Ste 1020, Tulsa, OK 74136-8323 | 2006-08-02 |
| 1770512097 | Greg Ratliff | Surgery | 2107 E 15th St, Tulsa, OK 74104-4613 | 2006-06-30 |
| 1578548475 | Joey M Manduano | Surgery | 2219 E 21st St, Tulsa, OK 74114-1411 | 2005-12-13 |
| 1114923794 | Laurie Ann Duckett | Surgery | 1809 E 13th St Ste 400, Tulsa, OK 74104-4431 | 2005-06-28 |
| 1629365085 | E Bradley Garber, M.d., P.C. | Surgery | 1784 S Utica Ave, Tulsa, OK 74104-5336 | 2011-07-06 |
| 1336388792 | Angie M Hignite | Surgery | 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 | 2009-02-09 |
| 1760644637 | Rola E Eid | Surgery | 6585 S Yale Ave, Suite 315, Tulsa, OK 74136-8384 | 2008-07-01 |
| 1952527178 | Utica Plastic Surgery Inc | Surgery | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4000 | 2007-04-17 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.