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CERBERUS SURGICAL PLLC NPI 1114340627


NPI Information

NPI: 1114340627
Provider Name: CERBERUS SURGICAL, PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1809 E 13TH ST
SUITE 200
TULSA, OK
ZIP 74104
Phone: (817) 485-5100
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CERBERUS SURGICAL, PLLC is a surgery in Tulsa, OK. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CERBERUS SURGICAL, PLLC NPI is 1114340627. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1809 E 13TH ST
SUITE 200
TULSA, OK
ZIP 74104-419
Phone: (817) 485-5100
Fax: (817) 485-5101

The provider's authorized official is Charles Neff .
The authorized official title is Director and has the following contact phone number (817) 485-5100.

The enumeration date for this NPI number is 2/4/2014 and was last updated on 11/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery200300503NORTH CAROLINANo
2208600000XSurgeryK9947TEXASNo
3208600000XSurgery23844OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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