STILLWATER SKIN & CANCER MEDICAL CLINIC, INC
STILLWATER SKIN & CANCER MEDICAL CLINIC, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1790839900, based in Stillwater, OK. It is classified under Specialist.
Getting there
The practice address on file is 1604 W 8TH AVE, Stillwater, OK 74074. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10612 | OK | Specialist primary |
This provider holds licence 10612 issued in OK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476570920
- Enrollment ID
- O20051025001106
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Specialist covers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NUCC Health Care Provider Taxonomy, code 174400000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1790839900 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 23, 2007 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
1604 W 8TH AVE Stillwater, OK 74074 (405) 624-1077 Fax (405) 377-2273 |
| Mailing address |
PO BOX 108809 Oklahoma City, OK 73101 |
| Other identifiers |
1588609606
· Other (OK) 1790839900 · Other (OK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 8 | 3 | 9 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 7 | 3 | 9 | 9 | 0 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.