LUMINARY DERMATOLOGY OF OKLAHOMA, LLC
NPI 1730758541
Dermatology in Edmond, OK

Active since June 24, 2021
1218 E 9TH ST STE 1, EDMOND, OK 73034(405) 856-0020(405) 856-0021 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 24, 2021, Sep 14, 2021, Jun 24, 2021 (3 updates tracked since 2021).

About Luminary Dermatology Of Oklahoma, Llc NPPES

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

LUMINARY DERMATOLOGY OF OKLAHOMA, LLC (NPI 1730758541) is a healthcare organization registered as a dermatology in Edmond, Oklahoma and active in the NPI registry since June 2021. The organization lists Jessica Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730758541
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLUMINARY DERMATOLOGY OF OKLAHOMA, LLC
Location Address1218 E 9TH ST STE 1Edmond, OK 73034-5796
Mailing Address4411 Bee Ridge Rd, Pmb 309Sarasota, FL 34233-2514 · (405) 856-0020 · Fax (405) 856-0021
Fax(405) 856-0021
Organization SubpartNo
Authorized OfficialJessica PhillipsCeo · (941) 302-4669
Enumeration DateJune 24, 2021
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
NPI 1730758541 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.

1218 E 9TH ST STE 1, Edmond, OK 73034

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

Other Providers at the Same Location NPPES 5

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

Psychiatry & Neurology (Psychiatry)
1218 E 9TH ST STE 1
EDMOND, OK 73034
Psychiatry & Neurology (Psychiatry)
1218 E 9TH ST STE 1
EDMOND, OK 73034
Nurse Practitioner
1218 E 9TH ST STE 1
EDMOND, OK 73034
Pharmacy (Community/Retail Pharmacy)
1218 E 9TH ST STE 1
EDMOND, OK 73034
Clinic/Center (Multi-Specialty)
1218 E 9TH ST STE 1
EDMOND, OK 73034

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 Luminary Dermatology Of Oklahoma, LLC's NPI number?

The NPI number for Luminary Dermatology Of Oklahoma, LLC is 1730758541. It was assigned to this organization in the NPPES registry on June 24, 2021.

Where is Luminary Dermatology Of Oklahoma, LLC located?

Luminary Dermatology Of Oklahoma, LLC is located at 1218 E 9th St Ste 1, Edmond, OK 73034. The listed phone number is (405) 856-0020.

What is Luminary Dermatology Of Oklahoma, LLC's specialty?

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

What insurance does Luminary Dermatology Of Oklahoma, LLC 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 Luminary Dermatology Of Oklahoma, LLC 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 Luminary Dermatology Of Oklahoma, LLC was last updated on September 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.