DR. LISA MASK BULL


Address: 9245 S Mingo Rd, Tulsa, OK 74133
Phone: 9184928980

DR. LISA MASK BULL (NPI# 1790121499) 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) 1790121499
Entity Type Individual
Full Name DR. LISA MASK BULL
Credential M.D.
Practice Address 9245 S Mingo Rd
Tulsa
OK 74133
Mailing Address 9245 S Mingo Rd
Tulsa
OK 74133-5793
Practice Telephone 9184928980
Practice Fax Number 9184950607
Mailing Telephone 9184928980
Mailing Fax Number 9184950607
Enumeration Date 2013-05-21
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 30038 OK Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
9245 S Mingo Rd, Tulsa, OK 74133 9184928980 9184950607

Other Providers LISA BULL

NPI Name Taxonomy Address Enumeration
1275966632 Lisa M Bull Pharmacist 201 N Belt Hwy, Saint Joseph, MO 64506-3451 2013-08-20
1467746016 Lisa Lynn Bull Chiropractor 107 W Main St, Elkland, PA 16920-1105 2011-05-31
1639482771 Lisa Rubin Bull Speech-Language Pathologist 1604 Spring Hill Rd, Suite 310, Vienna, VA 22182-7510 2010-07-19

Office Location

Street Address 9245 S MINGO RD
City TULSA
State OK
Zip Code 74133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598760712 Bernard N Robinowitz Dermatology 9245 S Mingo Rd, Suite 335, Tulsa, OK 74133-5793 2005-06-15
1932682275 Courtney Michelle Froehlich Nurse Practitioner 9245 S Mingo Rd, Tulsa, OK 74133-5793 2018-09-12
1427536846 Megan Blaire Kassem Physician Assistant 9245 S Mingo Rd, Tulsa, OK 74133-5793 2018-07-30
1760845606 Candice Elise Earp Nurse Practitioner 9245 S Mingo Rd, Tulsa, OK 74133-5793 2016-03-29
1467836692 Ahs Oklahoma Physician Group, LLC Clinic/Center 9245 S Mingo Rd, Tulsa, OK 74133-5793 2015-07-17
1902293020 Hannah Howard Dermatology 9245 S Mingo Rd, Tulsa, OK 74133-5793 2015-04-16
1861816647 Jennifer Diane Laeger Physician Assistant 9245 S Mingo Rd, Tulsa, OK 74133-5793 2014-02-13
1811216369 Donna May Devore Nurse Practitioner 9245 S Mingo Rd, Tulsa, OK 74133-5793 2010-05-24
1639229198 Earl Michael Callery Family Medicine 9245 S Mingo Rd, Tulsa, OK 74133-5793 2007-01-10
1245262419 Matthew Brett Dohlman Dermatology 9245 S Mingo Rd, Tulsa, OK 74133-5793 2006-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932725058 Economy Pharmacy Pharmacy 10120 E 91st, Tulsa, OK 74133 2020-06-24
1710539424 Fresenius Medical Care Tulsa, LLC Clinic/Center 9310 East 91st Street, Tulsa, OK 74133 2019-07-12
1003382060 Carefirst Pharmacy Tulsa, Inc. Pharmacy 6214 S. Sheridan Rd, Tulsa, OK 74133 2018-10-17
1003397332 Adekemi Taiwo Nurse Practitioner Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 2018-08-24
1346732013 Lauren Nichols Dentist 7707 E 111th St Ste 105, Tulsa, OK 74133 2018-05-30
1699264259 Courtney N Johnson, Pllc Dentist 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 2018-05-08
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1851800825 Seyva LLC Clinic/Center 8522 S 70th E Ave, Tulsa, OK 74133 2017-09-21
1477072031 Amanda Dawn Long Registered Nurse 10507 E 91st St Ste 310, Tulsa, OK 74133 2017-09-14
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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
1801320106 Epiphany Dermatology of Oklahoma, LLC Dermatology 6717 South Yale Avenue, Suite 101, Tulsa, OK 74136-3318 2017-04-13
1225266307 Alison Fischer Dermatology 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 2009-06-26
1053450957 Tracy D Kuykendall Dermatology 10115 E 80th St, Tulsa, OK 74133-3416 2007-02-06
1467538843 Glenn Pete Dosser Dermatology 6465 S Yale, # 522, Tulsa, OK 74136 2006-10-28
1336163724 Dermatology Associates of Tulsa LLC Dermatology 8803 S 101st E Ave, Ste 335, Tulsa, OK 74133-7550 2006-07-27
1710900097 Steven A. Smith, M.d., Dermatology, P.C. Dermatology 9940 E 81st Street, Tulsa, OK 74133-4501 2006-07-26
1831121565 Douglas M. Vaughn Dermatology 3915 E 51st St, Tulsa, OK 74135-3605 2006-07-06
1497713671 Earl Udo Bachenberg Dermatology 1844 E 15th St, Tulsa, OK 74104-4611 2006-05-03
1629057690 Steven Smith Dermatology 9940 E 81st St, Tulsa, OK 74133-4501 2006-01-10
1932195815 Mark D Lehman Dermatology 2121 E 21st St, Tulsa, OK 74114-1409 2005-09-26
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City TULSA
Zip Code 74133

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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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