IndividualActive
Glenn Koester, MD
NPI 1790892461 · Procedural Dermatology Physician · Edmond, OK
Provider details
- NPI number
- 1790892461
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18783 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3863 S. Boulevard
Edmond, OK 73034
Phone: (405) 216-5444
Fax: (405) 216-5445
Street-level locationGet directions
Mailing address
3863 S. Boulevard
Edmond, OK 73034
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2013-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.