SOUTH TULSA PLASTIC SURGERY CENTER – NPI #1245093699
Clinic/Center

SOUTH TULSA PLASTIC SURGERY CENTER is an AHC clinic located in JENKS, OK. NPPES has assigned the NPI number 1245093699 to SOUTH TULSA PLASTIC SURGERY CENTER on January 30, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH TULSA PLASTIC SURGERY CENTER below.

NPI Profile for
SOUTH TULSA PLASTIC SURGERY CENTER

NPI Number
1245093699
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH TULSA PLASTIC SURGERY CENTER
Primary location
224 S GATEWAY PL
STE 202
JENKS, OK 74037
Phone: (918) 518-5144 Fax: (918) 921-8155
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENDA SCHIESEL
PRIMARY OWNER/MEDICAL DIRECTOR
Phone: (918) 200-5454
Updated
Certification Date
Jan 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.