LAWRENCE L ANDERSON MD PA (NPI# 1013175751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013175751 |
| Entity Type | Organization |
| Organization Name | LAWRENCE L ANDERSON MD PA |
| Other Organization Name | DERM PATH LAB |
| Practice Address |
1367 Dominion Plz Tyler TX 75703-1013 |
| Practice Telephone | 9035346200 |
| Practice Fax Number | 9039390755 |
| Mailing Telephone | 9035346200 |
| Mailing Fax Number | 9039390755 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | ANDREA LYNNE STEIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9035346200 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | LAWRENCE L ANDERSON MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE PTAN | CN9571 | 01 |
| TX | 085541301 | 05 |
| Other Name | Type Code |
|---|---|
| Derm Path Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932134079 | Lawrence L Anderson Md Pa | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-07-11 |
| Street Address |
1367 DOMINION PLZ |
| City | TYLER |
| State | TX |
| Zip Code | 75703-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490472 | Stephen John Beck | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-01-05 |
| 1902317498 | Brittany Lauren Healey | Physician Assistant | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2017-10-24 |
| 1255624474 | Lindsey Anne Hunter-ellul | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2011-05-20 |
| 1053604389 | Bobbak Mansouri | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2011-05-19 |
| 1225264443 | Leslie Kay Scroggins Markle | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2009-06-02 |
| 1083818884 | Alma Criseida Berlingeri Ramos | Dermatology | 1367 Dominion Plz, Tyler, TX 75703 | 2007-06-14 |
| 1669553582 | Loretta A Jones | Nurse Practitioner | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-10-18 |
| 1447354626 | Jennifer Dykes Holman | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-09-11 |
| 1932134079 | Lawrence L Anderson Md Pa | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-07-11 |
| 1326078817 | Robert Everett Rossman | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912418963 | Summit Dermatology, Pllc | Dermatology | 1038 S Fleishel Ave, Tyler, TX 75701-2044 | 2017-10-17 |
| 1932134079 | Lawrence L Anderson Md Pa | Dermatology | 1367 Dominion Plz, Tyler, TX 75703-1013 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826131 | Medica Skin Diagnostics Pllc | Dermatology | 2046 Bedford Rd, Bedford, TX 76021-5709 | 2015-11-18 |
| 1942639455 | Dr. Samuel F Bean, Md, Pa | Dermatology | 1200 Binz St Ste 1110, Houston, TX 77004-6935 | 2013-11-05 |
| 1831417211 | Adaobi Nwaneshiudu Obasi | Dermatology | 6801 Mcpherson Rd Ste 332, Laredo, TX 78041-6417 | 2010-05-11 |
| 1366679466 | Ameripath 501a Corporation | Dermatology | 2330 Butler Street, Suite 115, Dallas, TX 75235-7800 | 2009-06-16 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| 1093865545 | Tracie Denise Swayden | Dermatology | 804 Ne Mall Blvd, Hurst, TX 76053-4653 | 2007-01-10 |
| 1265507941 | Angela Yen Moore, Md Pa | Dermatology | 711 E Lamar Blvd, Suite 200, Arlington, TX 76011-3888 | 2006-11-21 |
| 1568531739 | Melissa P Chiang | Dermatology | 5061 Fm 2920, Spring, TX 77388 | 2006-11-06 |
| 1962430108 | Andrew Marlin Morgan | Dermatology | 1001 N Twin Creek Dr, #201, Killeen, TX 76543-4268 | 2006-06-28 |
| 1245274331 | Anne E Wilkerson | Dermatology | 3010 Williams Dr, Suite 210, Georgetown, TX 78628-2764 | 2006-06-16 |
| Find all providers with the same taxonomy | ||||
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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.