OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC – NPI #1932879699
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC is a surgeon located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1932879699 to OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC on September 15, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 5 years ago on Oct 29, 2021. 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 OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC below.

NPI Profile for
OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC

NPI Number
1932879699
Enumeration Date

(more than 4 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
OKLAHOMA AESTHETIC RECONSTRUCTIVE SURGERY LLC
Primary location
13820 WIRELESS WAY
OKLAHOMA CITY, OK 73134-2501
Phone: (405) 246-0391 Fax: (405) 246-0392
Mailing address
2708 W COUNTRY CLUB DR
OKLAHOMA CITY, OK 73116-4219
Phone: (405) 246-0391 Fax: (405) 246-0392
Organization Subpart
No
Authorized Official
STACEY DILL
OFFICE ADMINISTRATOR
Phone: (405) 735-9700
Updated
Certification Date
Oct 29, 2021

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (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.