SOUTHSIDE DERMATOLOGY PLLC
NPI 1205586500
Dermatology in Muskogee, OK

Active since March 28, 2022
333 S 38TH ST STE E, MUSKOGEE, OK 74401(918) 760-0700 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Dermatology Pllc NPPES

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

SOUTHSIDE DERMATOLOGY PLLC (NPI 1205586500) is a healthcare organization registered as a dermatology in Muskogee, Oklahoma and active in the NPI registry since March 2022. The organization lists Alison Fischer, Owner, as its authorized official.

NPPES Registry Identity

NPI1205586500
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHSIDE DERMATOLOGY PLLC
Location Address333 S 38TH ST STE EMuskogee, OK 74401-4937
Mailing Address6966 S Utica Ave Ste 225Tulsa, OK 74136-3903 · (918) 492-6333 · Fax (918) 493-9405
Organization SubpartNo
Authorized OfficialAlison FischerOwner · (918) 760-0700
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1205586500 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.
333 S 38TH ST STE E, Muskogee, OK 74401

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
333 S 38TH ST STE E
MUSKOGEE, OK 74401
Nurse Practitioner (Gerontology)
333 S 38TH ST STE E
MUSKOGEE, OK 74401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Dermatology PLLC's NPI number?

The NPI number for Southside Dermatology PLLC is 1205586500. It was assigned to this organization in the NPPES registry on March 28, 2022.

Where is Southside Dermatology PLLC located?

Southside Dermatology PLLC is located at 333 S 38th St Ste E, Muskogee, OK 74401. The listed phone number is (918) 760-0700.

What is Southside Dermatology PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southside Dermatology PLLC was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.