Active NPI 1043445620 Individual Practitioner Female Practitioner

Dr. Aelayna Meyer , MD

Internal Medicine • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Aelayna Meyer, MD is a certified Internal Medicine practicing in Tulsa, OK. With approximately 17 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2009, Dr. Meyer delivers high-quality medical care to the local community at 9245 S MINGO RD.

Dr. Meyer is affiliated with Oklahoma Skin Surgery And Cosmetic Dermatology, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, removal and microscopic exam of growth of head, neck, hands, feet, or genitals, repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9245 S Mingo Rd

Tulsa, OK 741335793

Telephone 9184928980

Fax 9184950607

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -3.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Meyer (17 Years) 17 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	277	229	$788.00	$540.06
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	92	68	$825.00	$372.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	65	63	$600.00	$144.91
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$158.00	$84.02
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	33	32	$703.00	$173.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	26	$613.00	$157.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	24	$1607.00	$690.60
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	24	24	$1039.00	$219.32
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	23	22	$1292.00	$552.75
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	22	22	$2091.00	$916.00
12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	13	$224.00	$63.86
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$589.00	$140.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	240	196	$788.00	$547.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	79	52	$825.00	$376.08
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	72	70	$600.00	$147.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	31	$613.00	$174.11
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$158.00	$84.00
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	26	22	$1292.00	$549.50
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	25	$1607.00	$710.42
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	19	19	$2091.00	$921.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	12	$589.00	$153.32
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	13	13	$703.00	$180.20
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	12	$1039.00	$229.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	134	124	$2274.13	$564.13
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	46	34	$1407.13	$386.26
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	39	37	$931.31	$150.94
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$806.14	$173.89
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$2038.87	$235.69
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$891.80	$137.15
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	11	11	$3063.21	$933.99
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$2975.22	$721.23
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$169.10	$85.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	295	236	$2929.31	$567.32
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	96	90	$1045.56	$157.15
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	93	73	$1781.35	$399.61
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	31	30	$920.09	$138.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	29	$854.43	$185.34
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$3757.06	$719.50
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	23	23	$4229.87	$964.39
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	21	21	$1212.84	$179.34
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	15	$2691.80	$555.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$147.53	$54.48
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$3038.74	$263.63
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$188.52	$88.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$291.03	$108.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	207	168	$2929.31	$558.13
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	78	73	$1045.56	$148.71
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	63	48	$1781.35	$388.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	27	$854.43	$169.81
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	14	$2691.80	$541.41
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	15	$4229.87	$919.34
17000 Destruction of skin growth	16	13	$303.63	$41.62
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	14	$920.09	$132.59
11102 Tangential biopsy of single skin lesion	14	12	$286.83	$65.56
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$3757.06	$744.95
12053 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm	12	12	$1212.84	$186.23
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$3038.74	$244.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	367	279	$2929.31	$542.25
17003 Destruction of precancer skin growth, 2-14 growths	204	31	$73.88	$5.32
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	116	77	$1781.35	$379.90
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	113	104	$2438.57	$231.81
11102 Tangential biopsy of single skin lesion	65	53	$286.83	$70.88
17000 Destruction of skin growth	65	48	$303.63	$44.75
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$188.52	$71.60
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	40	39	$1045.56	$145.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	31	$854.43	$220.92
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	35	35	$3038.74	$243.27
11103 Biopsy of related skin growth, each additional growth	33	15	$154.71	$51.20
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	25	$3693.80	$728.53
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	24	24	$3757.06	$742.02
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	20	20	$4229.87	$969.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$273.20	$105.14
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	17	15	$2691.80	$580.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$147.53	$43.39
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$920.09	$127.23
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	14	$1649.62	$206.52
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$1236.70	$186.72
17110 Destruction of up to 14 skin growths	12	12	$341.58	$93.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	380	273	$2929.31	$507.48
17003 Destruction of precancer skin growth, 2-14 growths	329	55	$73.88	$4.77
17000 Destruction of skin growth	106	76	$303.63	$40.33
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	104	78	$1781.35	$356.69
11100 Biopsy of single growth of skin and/or tissue	86	68	$330.48	$84.60
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	73	68	$2438.57	$217.84
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	60	58	$1045.56	$136.28
11101 Biopsy of each additional growth of skin and/or tissue	58	24	$196.50	$29.83
99213 Established patient office or other outpatient visit, typically 15 minutes	51	47	$188.52	$67.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$273.20	$99.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	26	$854.43	$208.86
17110 Destruction of up to 14 skin growths	27	23	$341.58	$101.42
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	27	27	$3038.74	$231.80
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	25	24	$4229.87	$927.95
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	24	16	$2691.80	$459.90
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$3757.06	$707.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$147.53	$40.46
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$223.46	$68.90
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	20	20	$920.09	$139.57
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	20	18	$446.65	$41.74
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	19	19	$920.09	$117.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$936.14	$114.33
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	19	19	$3693.80	$618.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	335	275	$2929.31	$517.15
17003 Destruction of precancer skin growth, 2-14 growths	197	35	$73.88	$5.18
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	123	88	$1781.35	$356.99
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	82	11	$172.87	$66.35
17000 Destruction of skin growth	70	54	$303.63	$43.35
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$223.46	$69.94
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	62	62	$2438.57	$228.47
11100 Biopsy of single growth of skin and/or tissue	57	47	$330.48	$76.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	46	$147.53	$40.16
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$188.52	$68.68
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	42	42	$3757.06	$709.01
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	41	36	$854.43	$192.77
11101 Biopsy of each additional growth of skin and/or tissue	38	20	$196.50	$30.36
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	38	37	$1045.56	$136.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	22	$936.14	$115.42
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	27	27	$3038.74	$235.20
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	26	26	$4229.87	$943.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$273.20	$101.10
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	21	$920.09	$119.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	21	21	$2691.80	$506.83
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	18	$920.09	$141.48
17110 Destruction of up to 14 skin growths	18	15	$341.58	$103.74
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	14	14	$446.65	$41.71
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	13	13	$1236.70	$179.15
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	12	12	$1554.70	$196.12
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	11	$941.00	$192.92
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$1649.62	$198.53

Medical Specialties & State Licenses

CMS Verified: 2022-08-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 27119

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License WI 62088-20

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License OK 27119

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License WI 62088-20

Hospital & Practice Group Affiliations

Oklahoma Skin Surgery And Cosmetic Dermatology, P.c.

5801 E 41st St, Tulsa, OK 741355600

Oklahoma Skin Surgery And Cosmetic Dermatology, P.c.

5801 E 41st St, Tulsa, OK 741355627

Phone: 9182939966

Secondary Practice Locations

510 N 17th Ave, Suite C

Wausau, WI 544014200

Phone: 7158495333

5501a Vern Holmes Dr

Stevens Point, WI 544829791

Phone: 7153440172

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Girish Mohan , MD

Dermatology

NPI 1093193161

Doctor of Medicine (M.D.)

Matthew Dohlman , PA

Physician Assistant - Medical

NPI 1245262419

Physician Assistant

Dr. Bernard Robinowitz , MD

Dermatology

NPI 1598760712

Doctor of Medicine (M.D.)

Dr. Lisa Bull , MD

Dermatology

NPI 1790121499

Doctor of Medicine (M.D.)

Dr. Hannah Howard , MD

Dermatology

NPI 1902293020

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 15, 2022

Registered at 9245 S MINGO RD, TULSA, OK 741335793 (Tel: 9184928980)

📍

Updated Business Mailing Address August 15, 2022

Registered at 1145 S UTICA AVE STE 110, TULSA, OK 741044013 (Tel: 9185793825)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2022

Dermatology (License #62088-20 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2020

Dermatology (License #62088-20 in WI)

✅

NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2014

Registered at 510 N 17TH AVE, SUITE C, WAUSAU, WI 544014200 (Tel: 7158495333)

📍

Updated Business Mailing Address July 09, 2014

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 8666309882)

👤

Provider Name / Credentials Updated July 09, 2014

Recorded as AELAYNA MEYER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Dermatology (License #62088-20 in WI)

🟢

Initial NPI Registration & Enumeration May 26, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Aelayna Meyer. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043445620

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2009

Last Update: August 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1145 S Utica Ave Ste 110

Tulsa, OK 741044013

Phone: 9185793825

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.