Unknown Individual – Plastic Surgery Physician, NPI 1780619767
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1211 N SHARTEL AVE STE 905
OKLAHOMA CITY, OK 731032477
Phone: (405) 236-0300
Fax: (405) 236-0100
Type: Mailing
North Shartel Avenue, Midtown Oklahoma City, Oklahoma City, Oklahoma County, Oklahoma, 73118, United States
SUITE 905
OKLAHOMA CITY, OK 731032400
Phone: (405) 236-0300
Fax: (405) 236-0100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $543.
Total Amount is formed as General ($543) + Research ($0) + Ownership ($0) = $543.
Last reported payment date: 2023-08-03 • Largest payer in this snapshot: Johnson & Johnson Health Care Systems Inc. ($543).
Total Amount
$543
General + Research + Ownership
Payments
1
Total payment records
General Amount
$543
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Health Care Systems Inc. | $543 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73103)
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Reviews
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