DALLAS DERMATOLOGY (NPI# 1568749299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568749299 |
| Entity Type | Organization |
| Organization Name | DALLAS DERMATOLOGY |
| Other Organization Name | GREENVILLE DERMATOLOGY |
| Practice Address |
4724 Wellington St Greenville TX 75401-4944 |
| Mailing Address |
763 E Us Highway 80 Ste. 200 Forney TX 75126-8633 |
| Practice Telephone | 9725638500 |
| Practice Fax Number | 9725638501 |
| Mailing Telephone | 9725638500 |
| Mailing Fax Number | 9725638501 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | CANDACE WALDING (BILLING MANAGER) |
| Authorized Official Telephone | 9725638500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
K8565 | TX | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | K8565 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Greenville Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306263256 | Dallas Dermatology | Dermatology | 3110 Lamar Ave, Paris, TX 75460-5020 | 2014-03-27 |
| 1538436241 | Dallas Dermatology | Dermatology | 2504 Ridge Rd, Ste. 203, Rockwall, TX 75087-2569 | 2011-11-23 |
| 1720365463 | Dallas Dermatology | Dermatology | 9555 Lebanon Rd, Ste. 1002, Frisco, TX 75035-6095 | 2011-11-09 |
| Street Address |
4724 WELLINGTON ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-4944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174733927 | Greenville Anesthesia & Pain Management, Pllc | Clinic/Center | 4724 Wellington St, Greenville, TX 75401-4944 | 2007-05-23 |
| 1558793992 | Leonard Matthew Acevedo | Physician Assistant | 4724 Wellington St, Greenville, TX 75401-4944 | 2013-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| 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 |
|---|---|---|---|---|
| 1982138715 | Skin Solution To Massage | Dermatology | 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 | 2017-04-19 |
| 1134393952 | Dr Joseph R Terracina, Md, Pa | Dermatology | 2525 Highway 1 S Ste A, Greenville, MS 38701-8354 | 2008-04-14 |
| 1427232131 | Eric J. Baker, M.d., P.a. | Dermatology | 26 Roper Corners Cir, Greenville, SC 29615-4833 | 2007-12-18 |
| 1760576383 | Eric J. Baker | Dermatology | 26 Roper Corners Circle, Greenville, SC 29615-4833 | 2006-10-03 |
| 1255388310 | Leslie Howard Poinsette | Dermatology | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-05-27 |
| 1659323111 | Wayne Glenn Rogers | Dermatology | 3b Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-16 |
| 1134171473 | Frances B Pardue | Dermatology | 7a Cleveland Ct, Greenville, SC 29607-2414 | 2006-05-16 |
| 1205814613 | John Thomas Kuhl | Dermatology | 920 Woodruff Rd, Greenville, SC 29607-4105 | 2006-01-05 |
| 1356330963 | Natures Partners | Dermatology | 8506 Wesley St, Greenville, TX 75402-3812 | 2005-10-17 |
| 1902891872 | Charles M Phillips | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Greenville, NC 27834-2849 | 2005-09-15 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on DALLAS DERMATOLOGY.
| 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.