DR. CLARENCE L WILEY SR. (NPI# 1477564797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477564797 |
Entity Type | Individual |
Full Name | DR. CLARENCE L WILEY SR. |
Other Name | DR. CLARENCE LAPIERCE WILEY SR. |
Credential | M.D.,M.M.S.,F.A.A.D |
Practice Address |
1211 N Shartel Ave Ste 407 Oklahoma City OK 73103-2425 |
Mailing Address |
Po Box 2074 Lowell AR 72745-2074 |
Practice Telephone | 4052787911 |
Practice Fax Number | 4052787925 |
Mailing Telephone | 4052787911 |
Mailing Fax Number | 4052787925 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2016-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 12980 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICARE | 243432400 | 01 |
Street Address |
1211 N SHARTEL AVE STE 407 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73103-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245447218 | Beauty Thru Health Dermatology, P.C. | Specialist | 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
Find all providers in zip 73103 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205320579 | Leslie Rainbolt | Dermatology | 6821 Nw Grand Blvd, Oklahoma City, OK 73116-5413 | 2018-06-19 |
1871012955 | Ssm Health Care of Oklahoma Inc | Dermatology | 3400 S Douglas Blvd Ste 305, Oklahoma City, OK 73150-1018 | 2017-09-11 |
1962869313 | Paige Elizabeth Beverly | Dermatology | 13100 N Western Ave Ste 301, Oklahoma City, OK 73114-1432 | 2016-01-15 |
1720325533 | Saints Medical Group, LLC | Dermatology | 9720 Broadway Extension, Oklahoma City, OK 73114 | 2013-01-14 |
1770845729 | Saints Medical Group LLC | Dermatology | 13128 N Macarthur Blvd, Oklahoma City, OK 73142-3017 | 2012-06-14 |
1285954305 | Yaohan Lam | Dermatology | 2201 Sw 119th St Ste A, Oklahoma City, OK 73170-3438 | 2010-06-11 |
1407180748 | Skin Surgery Center of Oklahoma, P.C. | Dermatology | 5701 N Portland Ave Ste 301, Oklahoma City, OK 73112-1670 | 2009-09-18 |
1356449086 | Otobia Gifty Dimson | Dermatology | 5005 N Pennsylvania Ave Ste 105, Oklahoma City, OK 73112-8886 | 2006-09-20 |
1750487880 | Dermatology Clinic Inc A Professional Corp | Dermatology | 5701 N Portland Ave Ste 310, Oklahoma City, OK 73112-1670 | 2006-09-16 |
1750390886 | Alfred Last | Dermatology | 3435 Nw 56th, Suite 1000, Oklahoma City, OK 73112 | 2006-08-07 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73103 |
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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.