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

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

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

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: August 09, 2026.

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

On this page

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

Phone(405) 856-0020

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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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.

SOUTHERN PLAINS MEDICAL CENTER OF GARVIN COUNTY LLC

Clinic/Center (Multi-Specialty)