WESTLAKE DERMATOLOGY, PA (NPI# 1891029476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891029476 |
| Entity Type | Organization |
| Organization Name | WESTLAKE DERMATOLOGY, PA |
| Practice Address |
401 Rr 620 N Suite 200 Lakeway TX 78734-3910 |
| Mailing Address |
6836 Bee Caves Rd Suite 111 Austin TX 78746-5059 |
| Practice Telephone | 5126100549 |
| Practice Fax Number | 5123060222 |
| Mailing Telephone | 5123283376 |
| Mailing Fax Number | 5123060222 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | GREGORY NIKOLAIDIS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5123283376 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | TX | Allopathic & Osteopathic Physicians | |
| Y | 207N00000X | Dermatology | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265086045 | Westlake Dermatology, Pa | Dermatology | 5500 Broadway Ave, Alamo Heights, TX 78209 | 2019-07-30 |
| 1326692468 | Westlake Dermatology, Pa | Dermatology | 7515 Greenville Ave Ste 1030, Dallas, TX 75231-3866 | 2019-07-26 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| Street Address |
401 RR 620 N SUITE 200 |
| City | LAKEWAY |
| State | TX |
| Zip Code | 78734-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499757 | Wcs Medical Management LLC | Emergency Medicine | 1700 B Rr 620 South, Austin, TX 78734 | 2020-02-17 |
| 1851930788 | Beasley Counseling Pllc | Counselor | 311 Ranch Road 620 S, Building 311, Suite 102, Lake Travis Business Park, Austin, TX 78734 | 2019-12-23 |
| 1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
| 1568907913 | Pure Pharmacy | Pharmacy | 1927 Lohmans Crossing Rd Ste 203, Lakeway, TX 78734 | 2016-12-21 |
| 1558735050 | Magnolia Instructional Center | Behavioral Analyst | 2903 Rr 620 N, Bldg B, Austin, TX 78734 | 2015-11-20 |
| 1285012815 | H-e-b, Lp | Clinical Medical Laboratory | 2000 Ranch Rd. 620 South Ste A, Lakeway, TX 78734 | 2015-05-15 |
| 1932591385 | Benjamin House | Contractor | 14301 Hunters Pass, Austin, TX 78734 | 2015-02-23 |
| 1215350913 | Yiyang Emily Liu | Nurse Practitioner | 2306 Rent Rd 620 S, Minuteclinic, Lake Way, TX 78734 | 2014-01-31 |
| 1033473905 | Magnolia Instructional Center | Speech-Language Pathologist | 2903 Rr 620 N Bldg B, Austin, TX 78734 | 2012-06-26 |
| 1073830246 | Ricardo Jesus Chapa | Pediatrics | 900 Ranch Road 620 South, Suite C201, Lakeway, TX 78734 | 2010-04-28 |
| Find all providers in zip 78734 | ||||
| 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 |
|---|---|---|---|---|
| 1962838524 | Fresh Dermatology, P.a. | Dermatology | 1008 Rr 620 S Ste 101, Lakeway, TX 78734-5632 | 2013-09-15 |
| 1124361209 | Lia Gracey Maniar | Dermatology | 200 Medical Pkwy Ste 270, Lakeway, TX 78738-1796 | 2013-03-27 |
| 1760650428 | Melinda Dawn Conroy | Dermatology | 401 Ranch Road 620 S Ste 200, Lakeway, TX 78734-5304 | 2008-02-15 |
| 1780765172 | Lakeway Dermatology and Skin Cancer | Dermatology | 1313 Rr 620 South, Suite 201, Lakeway, TX 78734-6333 | 2006-10-18 |
| 1396126140 | Rachel Mcandrew | Dermatology | 200 Medical Pkwy Ste 270, Lakeway, TX 78738-1796 | 2015-06-17 |
| 1710373105 | Lindsey E. Richards | Dermatology | 401 Ranch Road 620 S Ste 200, Lakeway, TX 78734-5304 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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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.