DR. CLARENCE L WILEY SR.


Address: 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425
Phone: 4052787911

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 12980 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICARE 243432400 01

Office Location

Street Address 1211 N SHARTEL AVE STE 407
City OKLAHOMA CITY
State OK
Zip Code 73103-2425

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City OKLAHOMA CITY
Zip Code 73103

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Dataset Information

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.

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