DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC (NPI# 1417434119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417434119 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC |
| Practice Address |
6100 Southwest Blvd. Suite 100 Fort Worth TX 76109 |
| Mailing Address |
4200 Bridgeview Drive Apt. 315 Fort Worth TX 76109 |
| Practice Telephone | 7134983974 |
| Mailing Telephone | 7134983974 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | DR. CATHERINE HARRELL (MD/PRESIDENT) |
| Authorized Official Telephone | 7134983974 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
6100 SOUTHWEST BLVD. SUITE 100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| 1104109552 | Health Imaging Partners, LLC | Physiological Laboratory | 2911 Oak Park Circle, Fort Worth, TX 76109 | 2011-09-22 |
| Find all providers in zip 76109 | ||||
| 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 |
|---|---|---|---|---|
| 1447702964 | West Fort Worth Dermatology, P.a. | Dermatology | 4840 Bryant Irvin Ct, Suite 104, Fort Worth, TX 76107-7679 | 2016-11-01 |
| 1306228432 | Molly M Warthan Md | Dermatology | 1622 8th Ave Ste 120, Fort Worth, TX 76104-4155 | 2015-06-25 |
| 1407260151 | Heather Reagin | Dermatology | 2421 W 7th St Ste 205, Fort Worth, TX 76107-2393 | 2014-06-19 |
| 1548581564 | Julie Nguyen | Dermatology | 3516 Golden Triangle Blvd Ste 120, Fort Worth, TX 76244 | 2010-06-14 |
| 1407176043 | Northstar Dermatology, Pa | Dermatology | 5320 N Tarrant Pkwy, Suite 200, Fort Worth, TX 76244-5387 | 2010-06-06 |
| 1073773867 | Molly Mae Warthan | Dermatology | 5751 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4131 | 2008-06-15 |
| 1558569087 | Ronald Todd Plott | Dermatology | 12469 Timberland Blvd, Ste 501, Fort Worth, TX 76244-6548 | 2007-07-05 |
| 1427253095 | Jennifer Kathleen Tan | Dermatology | 5320 N Tarrant Pkwy Ste 200, Fort Worth, TX 76244-5387 | 2007-06-15 |
| 1942428024 | Faith Ashley Stewart | Dermatology | 7000 Bryant Irvin Rd, Ste 100, Fort Worth, TX 76132-4251 | 2007-04-23 |
| 1033256821 | Allison Beckworth Readinger | Dermatology | 800 8th Ave Ste 326, Fort Worth, TX 76104-2602 | 2007-01-31 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
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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.