MIDTOWN DERMATOLOGY LLC
NPI 1750400230
Dermatology in Tulsa, OK
NPI Status: Active since March 28, 2007
Contact Information
2424 E. 21ST STREET
SUITE 340
TULSA, OK
ZIP 74114
Phone: (918) 728-3100
Fax: (918) 728-3376
- Organization
- Dermatology
- CLIA Number: 37D2245505
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-19-2025
About MIDTOWN DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Midtown Dermatology Llc, a provider established in Tulsa, Oklahoma operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1750400230 assigned on March 2007. The practitioner's primary taxonomy code is 207N00000X with license number 18895 (OK). The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Greta Terhune (Office Manager)
- NPI
- 1750400230
- Provider Name
- MIDTOWN DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 2424 E. 21ST STREET SUITE 340 TULSA, OK 74114
- Location Phone
- (918) 728-3100
- Location Fax
- (918) 728-3376
- Mailing Address
- 2424 E. 21ST STREET SUITE 340 TULSA, OK 74114
- Mailing Phone
- (918) 728-3100
- Mailing Fax
- (918) 728-3376
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-28-2007
- Last Update Date
- 06-23-2025
- Code Navigator
A dermatologist like Midtown Dermatology Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 18895
- License State
- OK
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251300000X | Agencies | Local Education Agency (LEA) |
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.
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 |
|---|---|---|---|
| CH7333 | OTHER (01) | RAILROAD MEDICARE - PALMETTO GBA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2245505
- Facility Type
- Physician Office
- Certificate Effective Date
- September 20, 2023
- Certificate Expiration Date
- September 19, 2025
- Laboratory Director
- JACQUELINE A. GUIDRY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Midtown Dermatology Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 0 | 0 | 2 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 0 | 0 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 0 + 0 + 2 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750400230 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NICOLE LISETTE MANCINELLI PA-C
Physician Assistant
(Surgical)
2424 E. 21ST STREET
SUITE 320
TULSA, OK
ZIP 74114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750400230, enumerated as an "organization" on March 28, 2007.
The provider is located at 2424 E. 21ST STREET SUITE 340 TULSA, OK 74114 and the phone number is (918) 728-3100.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
