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

Q: What is Center For Plastic Surgery PC's NPI number?

The NPI number for Center For Plastic Surgery PC is 1417011693. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is Center For Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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: August 16, 2026.

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About Center For Plastic Surgery Pc NPPES

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

CENTER FOR PLASTIC SURGERY PC (NPI 1417011693) is a healthcare organization registered as a plastic surgery in Tulsa, Oklahoma and active in the NPI registry since December 2006. The organization lists Mark L. Mathers, Physician, as its authorized official.

NPPES Registry Identity

NPI1417011693

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameCENTER FOR PLASTIC SURGERY PC

Location Address1844 E 15TH STTulsa, OK 74104-4611

Mailing Address1844 E 15th StTulsa, OK 74104-4611 · (918) 749-7177 · Fax (918) 749-7309

Phone(918) 749-7177

Fax(918) 749-7309

Organization SubpartNo

Authorized OfficialMark L. MathersPhysician · (918) 749-7177

Enumeration DateDecember 21, 2006

Last NPPES UpdateJuly 7, 2010

✔ NPI 1417011693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in OK · 2384

Definition

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.

1844 E 15TH ST, Tulsa, OK 74104

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Other Identifiers 3

Other442629711-001OK · Blue Cross Blue Shield

Medicare ID-Type Unspecified=========COK

Medicaid100742880AOK

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 13

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

ELIZABETH L FROST, PLLC

Anesthesiology