NOVIE SROA (NPI# 1467574343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467574343 |
| Entity Type | Individual |
| Full Name | NOVIE SROA |
| Credential | MD |
| Practice Address |
2000 Ben Merritt Dr Ste B Decatur TX 76234-3848 |
| Mailing Address |
Po Box 2078 Decatur TX 76234-6156 |
| Practice Telephone | 9405398687 |
| Practice Fax Number | 9402576154 |
| Mailing Telephone | 9405398687 |
| Mailing Fax Number | 9402576154 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | S0228 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PENDING | 05 | |
| TX | BCBSTX - WCCA | PENDING | 01 |
| Street Address |
2000 BEN MERRITT DR STE B |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265843791 | Christopher Barret Moeder | Surgery | 2000 Ben Merritt Dr Ste B, Decatur, TX 76234-3848 | 2014-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| 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 |
|---|---|---|---|---|
| 1164919403 | Dermdoc Atlanta | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2018-04-20 |
| 1548649387 | Lakenya Odom | Dermatology | 18004 Anwar Trl, Decatur, GA 30032-7414 | 2015-05-26 |
| 1396916219 | Kathleen Jeanne Smith | Dermatology | 1670 Scott Blvd Ste 202, Decatur, GA 30033-5645 | 2008-03-19 |
| 1942247150 | Samantha S Wyatt | Dermatology | 620 Walnut St Ne, Suite A, Decatur, AL 35601-2456 | 2006-05-31 |
| 1649237363 | Joseph Thomas Backe | Dermatology | 1203 Medical Dr Se, Decatur, AL 35601 | 2006-04-27 |
| 1972588648 | James L Reeder Sr. | Dermatology | 1310 Somerville Rd Se, Decatur, AL 35601-4317 | 2005-12-14 |
| 1396735114 | Francis Chaepoong Lee | Dermatology | 606 W Pershing Rd, Suite E, Decatur, IL 62526-1633 | 2005-10-24 |
| 1265436067 | Jere H Weaver | Dermatology | 722 Bank St Ne, Decatur, AL 35601-1610 | 2005-06-09 |
| 1710450838 | Dermdoc Atlanta, LLC. | Dermatology | 4150 Snapfinger Woods Dr Ste 210, Decatur, GA 30035-3417 | 2019-01-11 |
| 1700369717 | Dermatology Solutions Pllc | Dermatology | 609 Medical Center Dr, Decatur, TX 76234-3836 | 2018-09-14 |
| Find all providers in DECATUR | ||||
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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.