TULSA DERMATOLOGY CLINIC INC
NPI 1194741561
Dermatology in Tulsa, OK

Q: What is Tulsa Dermatology Clinic Inc's NPI number?

The NPI number for Tulsa Dermatology Clinic Inc is 1194741561. It was assigned to this organization in the NPPES registry on July 15, 2006.

Q: What is Tulsa Dermatology Clinic Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since July 15, 2006CLIA 37D0474007 · Microscopy

2121 E 21ST ST, TULSA, OK 74114(918) 749-2261(918) 749-8712 Get Directions Write a Review

NPPES record last updated: May 16, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tulsa Dermatology Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TULSA DERMATOLOGY CLINIC INC (NPI 1194741561) is a healthcare organization registered as a dermatology in Tulsa, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through June 3, 2028 and lists Lawrence J Gregg, President, as its authorized official.

NPPES Registry Identity

NPI1194741561

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameTULSA DERMATOLOGY CLINIC INC

Location Address2121 E 21ST STTulsa, OK 74114-1409

Mailing AddressPo Box 52588Tulsa, OK 74152-0588 · (918) 749-2261 · Fax (918) 749-8712

Phone(918) 749-2261

Fax(918) 749-8712

Organization SubpartNo

Authorized OfficialLawrence J GreggPresident · (918) 749-2261

Enumeration DateJuly 15, 2006

Last NPPES UpdateMay 16, 2008

✔ NPI 1194741561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

2121 E 21ST ST, Tulsa, OK 74114

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Other Identifiers 2

Medicaid100729380AOK

Other=========001OK · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

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Enrolled in Medicare (PECOS)

Tulsa Dermatology Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Tulsa Dermatology Clinic Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.