SOUTH TULSA PLASTIC SURGERY CENTER NPI 1245093699

NPI Information

  • NPI: 1245093699
  • Provider Name: SOUTH TULSA PLASTIC SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 37D2290818
  • Address: 224 S GATEWAY PL
    STE 202
    JENKS, OK
    ZIP 74037
  • Phone: (918) 518-5144

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NPI Details

SOUTH TULSA PLASTIC SURGERY CENTER is an ambulatory surgical clinic center in Jenks, OK. SOUTH TULSA PLASTIC SURGERY CENTER NPI is 1245093699. The provider is registered as an organization entity type.

The provider's business location address is:

224 S GATEWAY PL
STE 202
JENKS, OK
ZIP 74037
Phone: (918) 518-5144
Fax: (918) 921-8155

The provider's authorized official is Brenda Schiesel .
The authorized official title is Primary Owner/medical Director and has the following contact phone number (918) 200-5454.

The CLIA number assigned to this NPI record is 37D2290818 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2024 and was last updated on 1/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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