OrganizationActive
Dermatology & Allergy Solutions LLC
NPI 1619371473 · Multi-Specialty Clinic/Center · Broken Arrow, OK
Provider details
- NPI number
- 1619371473
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cannen Ferrell, Ceo(918) 260-2093
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4716 South Urbana Street
Broken Arrow, OK 74012
Phone: (918) 260-2093
Street-level locationGet directions
Mailing address
10620 S Lakewood Ave
Tulsa, OK 74137-7002
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2014-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.