Southside Dermatology PLLC
NPI 1750877072ActiveOrganization· Dermatology· Tulsa, OK
Dermatology in Tulsa, Oklahoma, registered in NPPES in July 2018. The authorized official on file is Robert Fischer, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750877072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2018 |
| Last updated in NPPES | Mar 28, 2022 |
| Certified by provider | Mar 28, 2022 |
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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