HODGES DERMATOLOGY, PLLC (NPI# 1003364712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003364712 |
| Entity Type | Organization |
| Organization Name | HODGES DERMATOLOGY, PLLC |
| Other Organization Name | HODGES DERMATOLOGY, LLC |
| Practice Address |
6100 Windhaven Pkwy Plano TX 75093-8046 |
| Practice Telephone | 2146151735 |
| Practice Fax Number | 2146151800 |
| Mailing Telephone | 2146151735 |
| Mailing Fax Number | 2146151800 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | DR. LEISA LACOMBE HODGES (DERMATOLOGIST) |
| Authorized Official Telephone | 6262150262 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Q3692 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hodges Dermatology, LLC | Former Legal Business Name - Organization |
| Street Address |
6100 WINDHAVEN PKWY |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787067 | Michael J. Wells | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093 | 2005-06-01 |
| 1275054272 | Natalie A. Wright Md Pllc | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-06-29 |
| 1265978084 | Michael J Wells Mdpa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-01-18 |
| 1457726846 | Elizabeth Debry Carter | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2015-12-10 |
| 1245654664 | Jennifer R Stalkup Md Pa | Specialist | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2014-02-05 |
| 1043658198 | Jennifer Marie Snipes | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-06-11 |
| 1114363488 | Gunjan M. Modi, M.d., P.a. | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-05-14 |
| 1699119610 | Brooke Mohr Renkes | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-04-21 |
| 1699092866 | Natalie Ann Wright | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-04-28 |
| 1952623696 | Sheree Patel | Physician Assistant | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2010-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1457705295 | Jordan Charles Achtman | Dermatology | 4010 W Park Blvd, Plano, TX 75093-3839 | 2016-04-18 |
| 1477964005 | Michael Meyer | Dermatology | 5030 Tennyson Pkwy Ste 100, Plano, TX 75024 | 2014-05-16 |
| 1740629401 | Julie Rembold | Dermatology | 7000 Preston Rd Ste 500, Plano, TX 75024-2512 | 2013-06-17 |
| 1578882247 | Stephanie Abigail Saxton-daniels | Dermatology | 3585 National Dr Ste 180, Plano, TX 75025-0138 | 2010-05-20 |
| 1801099460 | Nicholas Richard Snavely | Dermatology | 5026 Tennyson Pkwy, Plano, TX 75024-3360 | 2007-06-08 |
| 1598745465 | Christie E Matter | Dermatology | 5805 Coit Rd, Suite 203, Plano, TX 75093-6989 | 2006-01-18 |
| 1114904802 | Elba I Rubianes | Dermatology | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2005-12-23 |
| 1902892367 | Robert Clark Terrill | Dermatology | 1220 Coit Rd, Suite 101, Plano, TX 75075-7757 | 2005-09-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.