AESTHETIC INSTITUTE OF OKLAHOMA PLLC – NPI #1972487254
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

AESTHETIC INSTITUTE OF OKLAHOMA PLLC is an otolaryngologist located in EDMOND, OK. NPPES has assigned the NPI number 1972487254 to AESTHETIC INSTITUTE OF OKLAHOMA PLLC on August 01, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

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 AESTHETIC INSTITUTE OF OKLAHOMA PLLC below.

NPI Profile for
AESTHETIC INSTITUTE OF OKLAHOMA PLLC

NPI Number
1972487254
Enumeration Date

(about 10 months 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
AESTHETIC INSTITUTE OF OKLAHOMA PLLC
Primary location
4509 INTEGRIS PKWY STE 350
EDMOND, OK 73034-8696
Phone: (405) 534-4358 Fax: (405) 657-3896
Mailing address
PO BOX 797
OKLAHOMA CITY, OK 73101-0797
Phone: (405) 534-4358 Fax:
Organization Subpart
No
Authorized Official
SCOTT SHADFAR
OWNER
Phone: (405) 834-3275
Updated
Certification Date
Jul 31, 2025

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
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)
207Y00000X
- Otolaryngology

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.