Center for Plastic Surgery PC
Center for Plastic Surgery PC is a healthcare organization registered as Plastic Surgery Physician in Tulsa, OK, holding Type 2 (organization) NPI 1417011693 since 2006. The authorized official on file is Mark Mathers, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417011693 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Center for Plastic Surgery PC |
| Practice address | 1844 E 15TH ST, Tulsa, OK, 74104 |
| Phone | 9187497177 |
| Fax | 9187497309 |
| Enumeration date | 2006-12-21 |
| Last updated in NPPES | 2010-07-07 |
Authorized official
| Name | Mark Mathers |
|---|---|
| Title | Physician |
| Phone | 9187497177 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208200000X | Plastic Surgery Physician | Primary | 2384 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100742880A | Medicaid | OK | — |
| 442629711-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Copy-ready billing details
Provider: Center for Plastic Surgery PC NPI: 1417011693 Taxonomy: 208200000X (Plastic Surgery Physician) Address: 1844 E 15TH ST, Tulsa, OK, 74104
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497713671 | Earl Bachenberg | Individual | Dermatology Physician | Tulsa, OK |
| 1902960198 | Cherry Street Surgery Center, LLC | Organization | Clinic/Center | Tulsa, OK |
| 1124150032 | Mark Mathers | Individual | Plastic Surgery Physician | Tulsa, OK |
| 1487804258 | Associated Dermatology and Hair Center | Organization | Dermatology Physician | Tulsa, OK |
| 1487976320 | Ann E Bartoloni MD PC | Organization | Anesthesiology Physician | Tulsa, OK |
| 1073835914 | Elizabeth L Frost, Pllc | Organization | Anesthesiology Physician | Tulsa, OK |
| 1225448251 | David L Akers Pllc | Organization | Anesthesiology Physician | Tulsa, OK |
| 1235785593 | Oklahoma Commons Surgery Center, LLC | Organization | Ambulatory Surgical Clinic/Center | Tulsa, OK |
Verify this record
Cross-check NPI 1417011693 against the authoritative CMS record: view Center for Plastic Surgery PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Center for Plastic Surgery PC?
What is the NPI number for Center for Plastic Surgery PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-07-07.