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SOUTH TULSA PLASTIC SURGERY CENTER
NPI 1245093699
Clinic/Center - Ambulatory Surgical in Jenks, OK

Active since January 30, 2024CLIA 37D2290818 · Waiver
224 S GATEWAY PL, STE 202, JENKS, OK 74037(918) 518-5144(918) 921-8155 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Tulsa Plastic Surgery Center NPPES

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

SOUTH TULSA PLASTIC SURGERY CENTER (NPI 1245093699) is a healthcare organization registered as an ambulatory surgical in Jenks, Oklahoma and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Brenda Schiesel, Primary Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1245093699
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH TULSA PLASTIC SURGERY CENTER
Location Address224 S GATEWAY PL, STE 202Jenks, OK 74037
Mailing Address224 S Gateway Pl, Ste 202Jenks, OK 74037 · (918) 200-5454 · Fax (918) 921-8155
Phone(918) 518-5144
Fax(918) 921-8155
Organization SubpartNo
Authorized OfficialBrenda SchieselPrimary Owner/medical Director · (918) 200-5454
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1245093699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
224 S GATEWAY PL, Jenks, OK 74037
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2290818

South Tulsa Plastic Surgery Center · Jenks, OK
Active · expires Oct 1, 2027
CLIA Number37D2290818
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBrenda G. Schiesel
Laboratory Phone(918) 518-5144
Laboratory LocationSouth Tulsa Plastic Surgery Center224 S Gateway Pl, Ste 202, Jenks, OK 74037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. MARY JOEL STURM O.D.
Optometrist
224 S GATEWAY PL, SUITE 101
JENKS, OK 74037
Tulsa County (918) 747-2020
HALEY L BALDRIDGE OD
Optometrist
224 S GATEWAY PL, SUITE 101
JENKS, OK 74037
Tulsa County (918) 747-2020

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 South Tulsa Plastic Surgery Center's NPI number?

The NPI number for South Tulsa Plastic Surgery Center is 1245093699. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is South Tulsa Plastic Surgery Center located?

South Tulsa Plastic Surgery Center is located at 224 S Gateway Pl Ste 202, Jenks, OK 74037. The listed phone number is (918) 518-5144.

What is South Tulsa Plastic Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does South Tulsa Plastic Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2290818) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Tulsa Plastic Surgery Center was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.