ABSOLUTE DERMATOLOGY & MEDI - SPA, PA (NPI# 1215934195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215934195 |
| Entity Type | Organization |
| Organization Name | ABSOLUTE DERMATOLOGY & MEDI - SPA, PA |
| Practice Address |
1103 Cypress Creek Rd Ste 100 Cedar Park TX 78613-3925 |
| Mailing Address |
Po Box 2166 San Antonio TX 78297-2166 |
| Practice Telephone | 5122577600 |
| Practice Fax Number | 5122577604 |
| Mailing Telephone | 5122577600 |
| Mailing Fax Number | 5122577604 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | LORI F HONEYCUTT (OWNER) |
| Authorized Official Telephone | 5122577600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ========= | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 858930 | 01 |
| Street Address |
1103 CYPRESS CREEK RD STE 100 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-3925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679110 | Michael Charles Gayle | Physical Therapist | 1103 Cypress Creek Rd, Ste 103, Cedar Park, TX 78613-3924 | 2005-06-21 |
| 1407233919 | Williams Wellness Chiropractic, LLC | Chiropractor | 1103 Cypress Creek Rd, Suite 102, Cedar Park, TX 78613-3924 | 2015-05-04 |
| 1710374129 | Heather Schorken | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2015-04-23 |
| 1649667338 | Texas Physical Therapy Specialist | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2015-04-20 |
| 1891189536 | Jason T Williams | Chiropractor | 1103 Cypress Creek Rd, Suite 102, Cedar Park, TX 78613-3924 | 2015-03-19 |
| 1568758068 | Anthony William Lauretta | Physical Therapist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2011-06-22 |
| 1619286358 | Brooke Ashley Radabaugh | Speech-Language Pathologist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2010-09-29 |
| 1538473301 | Trusted Life Care, Inc. | Durable Medical Equipment & Medical Supplies | 1103 Cypress Creek Rd, Unit 104, Cedar Park, TX 78613-3924 | 2010-08-03 |
| 1639402993 | Daniel R Hernandez | Speech-Language Pathologist | 1103 Cypress Creek Rd, Suite 103, Cedar Park, TX 78613-3924 | 2009-09-17 |
| 1679730402 | Total Sleep Diagnostics, Inc. | Clinic/Center | 1103 Cypress Creek Rd, Unit 104, Cedar Park, TX 78613-3924 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1306138193 | Donna Rose Hart | Dermatology | 200 S Lakeline Blvd Ste A, Cedar Park, TX 78613-2715 | 2011-05-11 |
| 1588703524 | Shwol-huo D. Kiang | Dermatology | 1401 Medical Pkwy, Bldg B #220, Cedar Park, TX 78613-7464 | 2007-02-06 |
| 1194713933 | Aubrey Chad Hartmann | Dermatology | 1401 Medical Pkwy, Building B, Suite 300, Cedar Park, TX 78613-7464 | 2005-10-06 |
| 1265797427 | Hubert Martin Chodkiewicz | Dermatology | 200 S Lakeline Blvd Ste A, Cedar Park, TX 78613-2715 | 2012-07-12 |
| 1265696538 | Laura Jeanne Lester | Dermatology | 1401 Medical Pkwy, Building B Suite 300, Cedar Park, TX 78613-7763 | 2008-07-15 |
| 1366602690 | Jessica Scruggs Dorsey | Dermatology | 1401 Medical Pkwy, Building B, Suite 300, Cedar Park, TX 78613-7763 | 2008-06-10 |
| 1144218900 | Aubrey Chad Hartmann, Md, Pa | Dermatology | 1401 Medical Pkwy, Building B, Suite 300, Cedar Park, TX 78613-7464 | 2005-10-06 |
| 1568469443 | Lori F Honeycutt | Dermatology | 1103 Cypress Creek Rd, Ste 100, Cedar Park, TX 78613-3925 | 2005-07-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on ABSOLUTE DERMATOLOGY & MEDI - SPA, PA.
| 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.