Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clarence L Wiley Sr., MD, MMS, FAAD

Individual provider Dermatology Physician · NPI 1477564797

Dr. Clarence L Wiley Sr., MD, MMS, FAAD is a Dermatology in Oklahoma City, Oklahoma. Graduated from Warren Alpert Medical School of Brown University in 1977, 49 years ago. Practices with Absentee Shawnee Tribal Health Authority, Inc, a 84-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
49
Trained at
Warren Alpert Medical School of Brown University
Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1211 N Shartel Ave Ste 407
Oklahoma City, OK 73103-2425
Phone: (405) 278-7911
Fax: (405) 278-7925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 12980 (OK)

Record details

NPI number1477564797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MMS , FAAD
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESAugust 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 1977 (49 years in practice)
Group practice Absentee Shawnee Tribal Health Authority, Inc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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