CENTER FOR PLASTIC SURGERY PC
NPI 1417011693
Plastic Surgery in Tulsa, OK

Active since December 21, 2006
1844 E 15TH ST, TULSA, OK 74104(918) 749-7177(918) 749-7309 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Plastic Surgery

About CENTER FOR PLASTIC SURGERY PC

This page provides the complete NPI Profile along with additional information for Center For Plastic Surgery Pc, a provider established in Tulsa, Oklahoma operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1417011693 assigned on December 2006. The practitioner's primary taxonomy code is 208200000X with license number 2384 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark L. Mathers D.o. (Physician)

NPI
1417011693 Verify this NPI
Provider Name
CENTER FOR PLASTIC SURGERY PC
Entity Type
Organization
Location Address
1844 E 15TH ST TULSA, OK 74104
Location Phone
(918) 749-7177
Location Fax
(918) 749-7309
Mailing Address
1844 E 15TH ST TULSA, OK 74104
Mailing Phone
(918) 749-7177
Mailing Fax
(918) 749-7309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2006
Last Update Date
07-07-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
2384
License State
OK
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK L. MATHERS D.O.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(918) 749-7177

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
442629711-001OTHER (01)OKBLUE CROSS BLUE SHIELD
=========CMEDICARE ID-TYPE UNSPECIFIED (04)OK 
100742880AMEDICAID (05)OK 

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Dermatology
1844 E 15TH ST
TULSA, OK 74104
Clinic/Center
1844 E 15TH ST
TULSA, OK 74104
Plastic Surgery
1844 E 15TH ST
TULSA, OK 74104
Dermatology
1844 E 15TH ST
TULSA, OK 74104
Anesthesiology
1844 E 15TH ST
TULSA, OK 74104
Anesthesiology
1844 E 15TH ST
TULSA, OK 74104
Anesthesiology
1844 E 15TH ST
TULSA, OK 74104
Anesthesiology
1844 E 15TH ST
TULSA, OK 74104
Clinic/Center (Pain)
1844 E 15TH ST
TULSA, OK 74104
Clinic/Center (Pain)
1844 E 15TH ST
TULSA, OK 74104
Clinic/Center (Ambulatory Surgical)
1844 E 15TH ST
TULSA, OK 74104
Family Medicine
1844 E 15TH ST
TULSA, OK 74104
Clinic/Center (Medical Specialty)
1844 E 15TH ST
TULSA, OK 74104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417011693, enumerated as an "organization" on December 21, 2006.

The provider is located at 1844 E 15TH ST TULSA, OK 74104 and the phone number is (918) 749-7177.

Plastic Surgery with taxonomy code 208200000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.