Luminary Dermatology of Oklahoma, LLC
NPI 1730758541ActiveOrganization· Dermatology· Edmond, OK
Dermatology in Edmond, Oklahoma, registered in NPPES in June 2021. The authorized official on file is Jessica Phillips, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730758541 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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