Green Country Surgical Arts

LBN: Kimiko And Tedesco Llc
Green Country Surgical Arts is an health care organization with primary practice located at 5555 E 71St Street Suite 7255, Tulsa OK 74136. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty. Kimiko And Tedesco Llc can be contacted via phone (918) 600-0026, or through Hogue, Jamie Leeann via phone (918) 600-0026.

Contact Information

Primary practice address
5555 E 71St Street Suite 7255 Tulsa OK 74136
Phone: (918) 600-0026
Fax: (918) 600-0024
Website:
Map and Directions
Authorized official contact:
Name: Hogue, Jamie Leeann
Phone: (918) 600-0026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1396497319
LBN Legal business name Kimiko And Tedesco Llc
DBA Doing business as Green Country Surgical Arts
Authorized official Hogue, Jamie Leeann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2022
Last updated Feb 2nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396497319 NPPES
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma Other 1790951747 AETNA
Oklahoma MEDICAID 1790951747 AETNA
Oklahoma Other 1790951747 AETNA

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