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MIDTOWN DERMATOLOGY LLC
NPI 1750400230
Dermatology in Tulsa, OK

Active since March 28, 2007CLIA 37D2245505 · Certificate of Compliance
2424 E. 21ST STREET, SUITE 340, TULSA, OK 74114(918) 728-3100(918) 728-3376 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2025, Sep 26, 2024, Feb 12, 2023 and 1 more (4 updates tracked since 2021).

About Midtown Dermatology Llc NPPES

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

MIDTOWN DERMATOLOGY LLC (NPI 1750400230) is a healthcare organization registered as a dermatology in Tulsa, Oklahoma and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 19, 2027 and lists Greta Terhune, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750400230
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMIDTOWN DERMATOLOGY LLC
Location Address2424 E. 21ST STREET, SUITE 340Tulsa, OK 74114
Mailing Address2424 E. 21st Street, Suite 340Tulsa, OK 74114 · (918) 728-3100 · Fax (918) 728-3376
Phone(918) 728-3100
Fax(918) 728-3376
Organization SubpartNo
Authorized OfficialGreta TerhuneOffice Manager · (918) 743-4046
Enumeration DateMarch 28, 2007
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1750400230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OK · 18895
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.
Also ListedLocal Education Agency (LEA)Taxonomy 251300000X
2424 E. 21ST STREET, Tulsa, OK 74114
Open in Google Maps ↗

Other Identifiers 1

OtherCH7333Railroad Medicare - Palmetto Gba

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midtown Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Midtown Dermatology LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Lynn Anderson, MD
Dermatology
NPI 1124076161
2424 E 21ST ST STE 340
Tulsa, OK 74114
(918) 728-3100
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Guidry, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1538505847
2424 E 21ST ST STE 340
Tulsa, OK 74114
(918) 728-3100
✔ PECOS✔ Accepts MedicareSame address
Kristen Rice, M.D.
Dermatology
NPI 1871826115
2424 E 21ST ST STE 340
Tulsa, OK 74114
(918) 728-3100
✔ PECOS✔ Accepts MedicareSame address
Michelle Walters, MD
Dermatology
NPI 1477538585
2424 E 21ST ST STE 340
Tulsa, OK 74114
(918) 728-3100
✔ PECOS✔ Accepts MedicareSame address
Kelsey Baab, MD
Dermatology
NPI 1790308625
4444 E 41ST ST
Tulsa, OK 74135
(918) 619-4400
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Compliance 37D2245505

Midtown Dermatology · Tulsa, OK
Active · expires Sep 19, 2027
CLIA Number37D2245505
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorJacqueline A. Guidry
Laboratory Phone(918) 728-3100
Laboratory LocationMidtown Dermatology2424 E 21st St, Ste 340, Tulsa, OK 74114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Midtown Dermatology LLC's NPI number?

The NPI number for Midtown Dermatology LLC is 1750400230. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Midtown Dermatology LLC located?

Midtown Dermatology LLC is located at 2424 E. 21st Street Suite 340, Tulsa, OK 74114. The listed phone number is (918) 728-3100.

What is Midtown Dermatology LLC's specialty?

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

Is Midtown Dermatology LLC enrolled in Medicare?

Yes. Midtown Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midtown Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Midtown Dermatology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Midtown Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D2245505) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midtown Dermatology LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.