BRYKERWOOD SKIN AND VEIN CENTER PA (NPI# 1316016710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316016710 |
| Entity Type | Organization |
| Organization Name | BRYKERWOOD SKIN AND VEIN CENTER PA |
| Practice Address |
1600 W 38th Street Suite 315 Austin TX 78731 |
| Practice Telephone | 5123024047 |
| Practice Fax Number | 5123021629 |
| Mailing Telephone | 5123024047 |
| Mailing Fax Number | 5123021629 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | JACULEEN ANN DANO (DOCTOR) |
| Authorized Official Telephone | 5123024047 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | TXJ4761 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 0051DR | 01 |
| Street Address |
1600 W 38TH STREET SUITE 315 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013983121 | Gordon Leroy White | Neurological Surgery | 1600 W 38th Street, Suite 418, Austin, TX 78731-6407 | 2006-02-28 |
| 1346441060 | Todd Carlton Harris | Dentist | 1600 W 38th Street, Suite 305, Austin, TX 78731 | 2007-05-30 |
| 1871671032 | Shiva Kumar Lam | Psychiatry & Neurology | 1600 W 38th Street, 422, Austin, TX 78731 | 2006-11-02 |
| 1619985835 | Jerry R Grammer | Psychologist | 1600 W 38th Street, Suite 404, Austin, TX 78731 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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 |
|---|---|---|---|---|
| 1962864488 | Mark Correa | Dermatology | 4419 Frontier Trl Ste 110, Austin, TX 78745-1567 | 2016-03-23 |
| 1699166991 | Elizabeth L Foley | Dermatology | 505 W Louis Henna Blvd Ste 200, Austin, TX 78728-1703 | 2015-02-09 |
| 1225461924 | Nicholas R Snavely Md | Dermatology | 10815 Rr 2222 Bldg 3a Ste 200, Austin, TX 78730-1159 | 2013-08-16 |
| 1730521113 | James William Green | Dermatology | 9108 Zyle Rd, Austin, TX 78737 | 2013-07-25 |
| 1568808459 | On Site Dermatology of Texas Pllc | Dermatology | 6500 River Place Blvd, Suite 250, Building 7, Austin, TX 78730-1119 | 2013-05-17 |
| 1699044800 | Balcones Dermatology Associates, P.a. | Dermatology | 8240 N. Mo Pac Expwy, Ste 350, Austin, TX 78759 | 2011-12-16 |
| 1689957169 | Sanova Dermatology Pllc | Dermatology | 12319 N Mopac Expy Ste 100, Austin, TX 78758-2486 | 2011-09-21 |
| 1740573997 | Olubusayo Obayan | Dermatology | 3303 Northland Dr Ste 308, Austin, TX 78731 | 2011-05-20 |
| 1306166152 | Elizabeth Rebecca Geddes-bruce | Dermatology | 3637 Far West Blvd Ste E, Austin, TX 78731-4126 | 2010-06-03 |
| 1033437835 | Stanley Tyler Hollmig | Dermatology | 1601 Trinity St Ste 704b, Austin, TX 78712 | 2010-05-04 |
| Find all providers in AUSTIN | ||||
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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.