UTICA PLASTIC SURGERY INC NPI 1952527178

NPI Information

NPI: 1952527178
Provider Name: UTICA PLASTIC SURGERY INC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1145 S UTICA AVE
SUITE 1109
TULSA, OK
ZIP 74104
Phone: (918) 582-6958
Get Directions

UTICA PLASTIC SURGERY INC is a plastic and reconstructive surgery surgery in Tulsa, OK. The provider is a surgeon who specializes in plastic and reconstructive surgery. UTICA PLASTIC SURGERY INC NPI is 1952527178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1145 S UTICA AVE
SUITE 1109
TULSA, OK
ZIP 74104-000
Phone: (918) 582-6958
Fax: (918) 582-8155

The provider's authorized official is Robert Gene Kirk .
The authorized official title is Owner and has the following contact phone number (918) 582-6958.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

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
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	12982	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	444447183001	OTHER	OKLAHOMA	BLUECROSS & BLUESHIELD

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

NPI Synchronization or Removal

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