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Southside Dermatology Pllc

Dermatology Physician in Broken Arrow, OK · enumerated 2022 · authorized official Alison Fischer, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073263380

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Registry record

Entity type Organization (Type 2)
Legal business name Southside Dermatology Pllc
Practice address 3300 S Aspen Ave Ste A, Broken Arrow, OK, 74012
Enumeration date Mar 28, 2022
Last updated in NPPES Mar 28, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Alison Fischer
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Southside Dermatology Pllc located?
The practice location on file with NPPES is in Broken Arrow, OK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-03-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-28.