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CAGR MEDICAL PLLC NPI 1619372026


NPI Information

NPI: 1619372026
Provider Name: CAGR MEDICAL, PLLC

Doing Business As: SOUTHWESTERN DERMATOLOGY

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 37D0714641

Address:
8315 S WALKER AVE
OKLAHOMA CITY, OK
ZIP 73139
Phone: (405) 636-1506
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CAGR MEDICAL, PLLC is a procedural dermatology dermatology in Oklahoma City, OK. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). CAGR MEDICAL, PLLC NPI is 1619372026. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southwestern Dermatology.

The provider's business location address is:

8315 S WALKER AVE
OKLAHOMA CITY, OK
ZIP 73139-449
Phone: (405) 636-1506
Fax: (405) 636-1511

The provider's authorized official is Carrie Krapff .
The authorized official title is Administrator and has the following contact phone number (405) 636-1506.

The CLIA number assigned to this NPI record is 37D0714641 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 8/21/2023.


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
1207N00000XDermatology21472OKLAHOMANo
2207N00000XDermatologyNo
3207ND0101XDermatologyMOHS-Micrographic Surgery21472OKLAHOMANo
4207NS0135XDermatologyProcedural Dermatology21472OKLAHOMAYes

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: 4/28/2024

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