ALLYSON BLACK


Address: 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021
Phone: 4057736470

ALLYSON BLACK (NPI# 1760703730) 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) 1760703730
Entity Type Individual
Full Name ALLYSON BLACK
Credential MD
Practice Address 5915 W Memorial Rd
Suite 300
Oklahoma City
OK 73142-2021
Mailing Address 5300 N Independence Ave
Suite 280
Oklahoma City
OK 73112-5556
Practice Telephone 4057736470
Practice Fax Number 4057736463
Mailing Telephone 4057736470
Mailing Fax Number 4057736463
Enumeration Date 2010-06-14
Last Update Date 2017-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 27886 OK Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 27886 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 5915 W MEMORIAL RD
SUITE 300
City OKLAHOMA CITY
State OK
Zip Code 73142-2021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184661977 Jeffrey B Cruzan Family Medicine 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2006-06-01
1811257983 Loahn Kelley Gallegos Family Medicine 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2012-05-23
1659683589 Serena Anderson Family Medicine 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2010-07-08
1639499379 Robert Scott Hooper Pharmacist 5915 W Memorial Rd, Suite 110, Oklahoma City, OK 73142-2015 2010-06-04
1205066958 Charlotte A Coyner-gregory Family Medicine 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2009-07-15
1699921734 Irim S Yasin Internal Medicine 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 2008-08-08
1245404946 Juli Johnson Clinical Nurse Specialist 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 2008-04-15
1780853358 Thomas Ammen Showalter IIi Internal Medicine 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 2008-02-27
1699971911 Elizabeth Prater Dermatology 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2007-06-23
1215148507 Elise I Brantley Dermatology 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 2007-05-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184003790 Advance Physicians Group LLC Clinic/Center 13401 N Macarthur Blvd, Oklahoma City, OK 73142 2015-05-28
1366840084 Lindsey Jackson Case Manager/Care Coordinator 12051 Parkland Pl, Oklahoma City, OK 73142 2014-12-11
1164866737 Vitality Wellness Clinic/Center 5740 Nw 135th St., Oklahoma City, OK 73142 2013-04-25
1356694558 Joel Mitchell Sprinkle Community Health Worker 13100 Brandon Pl, Oklahoma City, OK 73142 2012-10-25
1689923856 Sampson Mcsidney Case Management 14717 Hollyhock Dr, Oklahoma City, OK 73142 2012-09-04
1992087860 Derek Reed Mccarver Pharmacist 1400 E. 2nd St, Edmond, OK 73142 2011-09-15
1326335811 Laser Spine Surgery Center of Oklahoma, LLC Clinic/Center 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 2011-07-05
1215220801 James Kenneth Fisher Psychologist 12522 Abbotts Way, Oklahoma City, OK 73142 2011-05-16
1174850408 Diagnostic Laboratory of Oklahoma, LLC Clinical Medical Laboratory 5911 West Memorial Road, Oklahoma City, OK 73142 2009-11-06
1417113275 Reuben Seth Thomas Optometrist 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 2008-07-31
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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
1477564797 Clarence L Wiley Sr. Dermatology 1211 N Shartel Ave Ste 407, Oklahoma City, OK 73103-2425 2006-08-11
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Competitor

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City OKLAHOMA CITY
Zip Code 73142

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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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