SCOTT WICKLESS (NPI# 1043222714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043222714 |
| Entity Type | Individual |
| Full Name | SCOTT WICKLESS |
| Credential | DO |
| Practice Address |
6655 N Macarthur Blvd Irving TX 75039-2443 |
| Mailing Address |
4500 S Lancaster Rd 3rd Floor Dermatology Clinic Dallas TX 75216-7167 |
| Practice Telephone | 2142778700 |
| Practice Fax Number | 2145967484 |
| Mailing Telephone | 2147428387 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 036116326 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036116326 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO MEDICAL LICENSE | 48021 | 01 |
| CO | DEA | BW9718771 | 01 |
| CO | MEDICARE | CO305676 | 01 |
| Street Address |
6655 N MACARTHUR BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75039-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789154 | Armineh Kajoian | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2005-06-13 |
| 1043589161 | Caris Mpi, Inc. | Clinical Medical Laboratory | 6655 N Macarthur Blvd, 3rd Floor, Irving, TX 75039-2443 | 2011-12-19 |
| 1578848842 | Jyoti Kapil | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2011-10-18 |
| 1407173099 | Daniel Barkman Wimmer IIi | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2010-04-22 |
| 1437389277 | Jessica Zarah Sugianto | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2009-07-14 |
| 1326277286 | Ji Yoon Yoon | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2009-07-13 |
| 1598905689 | Raanan Sela | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2009-03-02 |
| 1184874125 | Kevin Orlando Turner | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2008-09-26 |
| 1295991198 | Reenu Malhotra | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-31 |
| 1760647200 | Franto Francis | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| 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 |
|---|---|---|---|---|
| 1770798233 | Dermatology Center,pa | Dermatology | 2015 Westpark Dr, Irving, TX 75061-2113 | 2007-05-10 |
| 1063594299 | Carolyn Kim | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061-7506 | 2006-10-19 |
| 1285634055 | Lawrence B Meyerson | Dermatology | 2021 N Macarthur Blvd #300, Irving, TX 75061-2113 | 2005-07-22 |
| 1851836928 | Pure Dermatology Center | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061 | 2016-12-28 |
| 1083961254 | Dermatology of Irving Pllc | Dermatology | 2021 N Macarthur Blvd, Suite 300, Irving, TX 75061-2219 | 2012-08-07 |
| 1740571496 | Jennifer Natasha David | Dermatology | 2021 N Macarthur Blvd Ste 450, Irving, TX 75061-2219 | 2011-04-28 |
| 1366768079 | Jennifer Marie Quinn | Dermatology | 2021 N Macarthur Blvd, Suite 450, Irving, TX 75061-2219 | 2010-04-20 |
| 1407041114 | Las Colinas Dermatology Pa | Dermatology | 440 W Ih 635 Fwy, 365, Irving, TX 75063-3768 | 2007-09-06 |
| 1417957630 | Raymond L Garcia | Dermatology | 2021 N Macarthur Blvd, #300, Irving, TX 75061-2113 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 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 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
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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.