PAUL T MARTINELLI (NPI# 1194813543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194813543 |
| Entity Type | Individual |
| Full Name | PAUL T MARTINELLI |
| Credential | M.D. |
| Practice Address |
4716 Alliance Blvd Suite 150 Plano TX 75093-5371 |
| Practice Telephone | 4694676647 |
| Practice Fax Number | 4694676648 |
| Mailing Telephone | 4694676647 |
| Mailing Fax Number | 4694676648 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
L8826 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4716 ALLIANCE BLVD SUITE 150 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588634 | David S. Bastawros | Podiatrist | 4716 Alliance Blvd, Ste 300, Plano, TX 75093-5371 | 2005-06-16 |
| 1427566371 | James Hale Miller Jr. | Social Worker | 4716 Alliance Blvd, 775, Plano, TX 75093 | 2018-01-12 |
| 1831556174 | Monique Laverne Bradford | Nurse Practitioner | 4716 Alliance Blvd, Plano, TX 75093-5371 | 2016-01-18 |
| 1053794768 | Kayme Mcintosh | Nurse Practitioner | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2015-06-30 |
| 1053723635 | Eating Recovery Center of Dallas | Psychiatric Hospital | 4716 Alliance Blvd, Suite 400, Plano, TX 75093-5371 | 2014-05-29 |
| 1073939443 | Dayna Vestal | Nurse Practitioner | 4716 Alliance Blvd, Pavillion II, Suite 270, Plano, TX 75093-5371 | 2014-03-10 |
| 1003259458 | Sean Allan Townsend | Internal Medicine | 4716 Alliance Blvd, Suite 500, Plano, TX 75093-5371 | 2013-04-15 |
| 1891084968 | James David Russell | Dermatology | 4716 Alliance Blvd, Suite 150, Plano, TX 75093-5371 | 2011-03-29 |
| 1144475229 | Justin Michael Schaffer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavilion II, Suite 310, Plano, TX 75093-5371 | 2008-11-17 |
| 1538349360 | Katherine Brooks Harrington | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4716 Alliance Blvd, Pavillion II, Suite 310, Plano, TX 75093-5371 | 2007-11-09 |
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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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879346 | Eric Stephen Hollabaugh, M.d., Pa | Dermatology | 6100 Windhaven Pkwy Ste 208, Plano, TX 75093-8046 | 2007-09-07 |
| 1265978084 | Michael J Wells Mdpa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2017-01-18 |
| 1962898312 | Pooyan Rohani | Dermatology | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2015-04-13 |
| 1114363488 | Gunjan M. Modi, M.d., P.a. | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2013-05-14 |
| 1356589204 | Gunjan M Modi | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2009-01-30 |
| 1346425915 | Edward Lansing Parry Md Pa | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2008-01-02 |
| 1497749824 | Eric Stephen Hollabaugh | Dermatology | 6100 Windhaven Pkwy, Plano, TX 75093-8046 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
| 1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
| 1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
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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.