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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: August 02, 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
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Other Identifiers 1

OtherCH7333Railroad Medicare - Palmetto Gba

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.

Other Providers at the Same Location NPPES

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

NICOLE LISETTE MANCINELLI PA-C
Physician Assistant (Surgical)
2424 E. 21ST STREET, SUITE 320
TULSA, OK 74114
Tulsa County (918) 392-4547

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.

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 13 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.