LAKEWOOD DERMATOLOGY, PLLC (NPI# 1780045260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780045260 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD DERMATOLOGY, PLLC |
| Practice Address |
6162 E Mockingbird Ln Ste. 120 Dallas TX 75214-2697 |
| Practice Telephone | 2144638328 |
| Mailing Telephone | 2144638328 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | PATRICK HENRY MCDONOUGH (PRESIDENT) |
| Authorized Official Telephone | 2144638328 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Q6655 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6162 E MOCKINGBIRD LN STE. 120 |
| City | DALLAS |
| State | TX |
| Zip Code | 75214-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926936 | Nancy Lee Sonntag | Social Worker | 6162 E Mockingbird Ln, Ste. 215, Dallas, TX 75214-2697 | 2005-10-14 |
| 1265942056 | Tanasha N Friar | Massage Therapist | 6162 E Mockingbird Ln, Dallas, TX 75214-2697 | 2017-10-05 |
| 1710231824 | Davisson Consulting, Inc. | Counselor | 6162 E Mockingbird Ln, 220, Dallas, TX 75214-2697 | 2012-10-29 |
| 1023374519 | Patrick Henry Mcdonough | Dermatology | 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214-2697 | 2012-04-09 |
| 1366735771 | Omni Eeg Lab, Inc. | Physiological Laboratory | 6162 E Mockingbird Ln, Suite 210a, Dallas, TX 75214-2697 | 2011-05-17 |
| 1346454766 | Edward A. Davisson | Counselor | 6162 E Mockingbird Ln, 220, Dallas, TX 75214-2697 | 2007-05-09 |
| 1447379821 | Joe Reed Campbell | Massage Therapist | 6162 E Mockingbird Ln, Suite 205, Dallas, TX 75214-2697 | 2007-03-28 |
| 1194841940 | Julien Porter Devereux | Social Worker | 6162 E Mockingbird Ln, Suite #215, Dallas, TX 75214-2697 | 2007-03-22 |
| 1427180710 | Beverly Ann Young | Counselor | 6162 E Mockingbird Ln, Suite 204, Dallas, TX 75214-2697 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
| 1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
| 1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
| 1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
| 1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
| 1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
| 1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
| 1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
| 1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
| Find all providers in zip 75214 | ||||
| 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.