Southside Dermatology PLLC
NPI 1750877072 · Dermatology Physician · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Dermatology PLLC is a Dermatology Physician organization in Tulsa, OK (NPI 1750877072).
Provider details
- NPI number
- 1750877072
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Fischer, President(918) 760-0700
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Southside Dermatology PLLC's NPI number?
- Southside Dermatology PLLC's National Provider Identifier (NPI) is 1750877072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Dermatology PLLC?
- Southside Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Dermatology PLLC located?
- Southside Dermatology PLLC's practice location on file with NPPES is 720 W 71st St, Tulsa, OK 74132-7413.
- What is Southside Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Dermatology PLLC is (918) 760-0700.
- Does Southside Dermatology PLLC accept Medicare?
- Southside Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Dermatology PLLC?
- The authorized official listed on Southside Dermatology PLLC's NPPES record is Robert Fischer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Dermatology PLLC's NPI active?
- Yes — Southside Dermatology PLLC's NPI (1750877072) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.