EVI DERMATOLOGY
NPI 1518772433
Dermatology in Oklahoma City, OK

Active since February 10, 2025CLIA 37D2335071 · Microscopy
1512 SW 119TH ST, OKLAHOMA CITY, OK 73170(405) 310-6000(405) 280-1398 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Jan 21, 2026, Dec 2, 2025 and 6 more (9 updates tracked since 2025).

About Evi Dermatology NPPES

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

EVI DERMATOLOGY (NPI 1518772433) is a healthcare organization registered as a dermatology in Oklahoma City, Oklahoma and active in the NPI registry since February 2025. The organization holds a CLIA Microscopy certificate valid through December 4, 2027 and lists Quy Pham, Owner, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1518772433
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEVI DERMATOLOGY
Location Address1512 SW 119TH STOklahoma City, OK 73170-4930
Mailing Address1512 Sw 119th StOklahoma City, OK 73170-4930 · (405) 310-6000 · Fax (405) 280-1398
Fax(405) 280-1398
Organization SubpartNo
Authorized OfficialQuy PhamOwner, Ceo, President · (405) 310-6000
Enumeration DateFebruary 10, 2025
Last NPPES UpdateMay 21, 20269 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1518772433 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.
1512 SW 119TH ST, Oklahoma City, OK 73170

Other Names 1

Other NameEvi Dermatology Pllc

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

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 for Provider-Performed Microscopy Procedures (PPMP) 37D2335071

Evi Dermatology PLLC · Oklahoma City, OK
Active · expires Dec 4, 2027
CLIA Number37D2335071
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorQuy Pham
Laboratory Phone(405) 310-6000
Laboratory LocationEvi Dermatology PLLC1512 SW 119th St, Oklahoma City, OK 73170
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Dermatology
1512 SW 119TH ST
OKLAHOMA CITY, OK 73170

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 Evi Dermatology's NPI number?

The NPI number for Evi Dermatology is 1518772433. It was assigned to this organization in the NPPES registry on February 10, 2025. The provider is also known as EVI Dermatology PLLC.

Where is Evi Dermatology located?

Evi Dermatology is located at 1512 SW 119th St, Oklahoma City, OK 73170. The listed phone number is (405) 310-6000.

What is Evi Dermatology's specialty?

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

Does Evi Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D2335071) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evi Dermatology accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Evi Dermatology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evi Dermatology was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.