OLIVER STREET 5.01(A) INC. (NPI# 1457695413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457695413 |
| Entity Type | Organization |
| Organization Name | OLIVER STREET 5.01(A) INC. |
| Other Organization Name | U.S. DERMATOLOGY PARTNERS |
| Practice Address |
5310 Harvest Hill Rd Ste 290 Dallas TX 75230-5826 |
| Practice Telephone | 2144200672 |
| Practice Fax Number | 2147360512 |
| Mailing Telephone | 2144200672 |
| Mailing Fax Number | 2147360512 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | GEOFFREY WAYNE (CEO) |
| Authorized Official Telephone | 2144200651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| U.S. Dermatology Partners | Doing Business As Name - Organization |
| Street Address |
5310 HARVEST HILL RD STE 290 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| 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.