OrganizationActive
Glenn Koester, M.D., P.C.
NPI 1902930209 · Procedural Dermatology Physician · Edmond, OK
Provider details
- NPI number
- 1902930209
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glenn Koester, M.D.(405) 216-5444
- License
- 18783 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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 St Ste 200
Edmond, OK 73013-5540
Phone: (405) 216-5444
Street-level locationGet directions
Mailing address
3863 S Boulevard St Ste 200
Edmond, OK 73013-5540
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.