JEROLD DENNIS MICHAELSON (NPI# 1205825676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205825676 |
| Entity Type | Individual |
| Full Name | JEROLD DENNIS MICHAELSON |
| Credential | MD |
| Practice Address |
8220 Walnut Hill Ln Suite 512 Dallas TX 75231-4427 |
| Practice Telephone | 2143698130 |
| Practice Fax Number | 2143697872 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | D4228 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
8220 WALNUT HILL LN SUITE 512 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279027 | North Texas Pain Management | Specialist | 8220 Walnut Hill Ln, 202 Lb#98, Dallas, TX 75231-4427 | 2005-07-19 |
| 1104340694 | Christian Timothy Le | Physician Assistant | 8220 Walnut Hill Ln, Dallas, TX 75231-4427 | 2017-07-27 |
| 1073973426 | Lema Dohmanju | Registered Nurse | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2016-02-27 |
| 1063884880 | Jordan Paul Wood | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2015-10-21 |
| 1023435575 | Fadi C Constantine, M.d. P.a | Plastic Surgery | 8220 Walnut Hill Ln, Suite 206, Dallas, TX 75231-4427 | 2014-03-22 |
| 1568715514 | Charity C Mugadza | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2012-10-16 |
| 1437405776 | Cori E. Grantham, M.d., P.a. | Specialist | 8220 Walnut Hill Ln, 310, Dallas, TX 75231-4427 | 2012-07-24 |
| 1326302233 | Dallas Comprehensive Medical Care, Pllc | Internal Medicine | 8220 Walnut Hill Ln, Suite 314, Dallas, TX 75231-4427 | 2012-06-26 |
| 1629344833 | Jeffery Keith Krueger M D P A | Surgery | 8220 Walnut Hill Ln, Ste. 206, Dallas, TX 75231-4427 | 2012-04-02 |
| 1154611044 | Irwin S. Korngut Mdpa | Internal Medicine | 8220 Walnut Hill Ln, Suite 110, Dallas, TX 75231-4427 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| 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 |
|---|---|---|---|---|
| 1326692468 | Westlake Dermatology, Pa | Dermatology | 7515 Greenville Ave Ste 1030, Dallas, TX 75231-3866 | 2019-07-26 |
| 1710465380 | Flora Kim Md Pllc | Dermatology | 4300 Macarthur Ave Ste 100, Dallas, TX 75209-6544 | 2018-08-05 |
| 1447619291 | Blackburn Woolfolk Dermatology, Pllc | Dermatology | 8200 Brookriver Dr Ste N705, Dallas, TX 75247-4052 | 2016-02-22 |
| 1376927707 | Isabel Mary Haugh | Dermatology | 2350 N Stemmons Fwy Ste 4200, Dallas, TX 75207-2700 | 2015-07-15 |
| 1245627082 | Darlene Erica Gou | Dermatology | 4605 Cedar Springs Rd Apt 233, Dallas, TX 75219-1369 | 2015-04-20 |
| 1275927162 | Era Caterina Murzaku | Dermatology | 8230 Walnut Hill Ln Ste 500, Dallas, TX 75231 | 2015-03-27 |
| 1104245505 | Shauna Eve Goldman | Dermatology | 2350 North Stemmons Freeway Suite 4200, Dallas, TX 75390-2045 | 2014-04-14 |
| 1609212158 | Janet Yiwen Li | Dermatology | 8210 Walnut Hill Rd., Prof Off Bldg 1 Ste. 810, Dallas, TX 75231 | 2013-05-10 |
| 1295179190 | Sivaramya Kollipara | Dermatology | 5445 La Sierra Dr Ste 102, Dallas, TX 75231-3464 | 2013-04-22 |
| 1780027052 | Elizabeth Wilder | Dermatology | 411 N Washington Ave Ste 1200, Dallas, TX 75246-1744 | 2013-04-16 |
| Find all providers in DALLAS | ||||
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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.