TEXAS MOHS SURGERY AND SKIN CANCER CENTER, PLLC (NPI# 1972906592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972906592 |
| Entity Type | Organization |
| Organization Name | TEXAS MOHS SURGERY AND SKIN CANCER CENTER, PLLC |
| Other Organization Name | DALLAS SKIN CANCER CENTER |
| Practice Address |
411 N Washington Ave Suite 1200 Dallas TX 75246-1744 |
| Practice Telephone | 2143965227 |
| Mailing Telephone | 2143965227 |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | DR. FRANK CHARLES SAPORITO (PRESIDENT) |
| Authorized Official Telephone | 2143965227 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
M3726 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 358056501 | 05 |
| Other Name | Type Code |
|---|---|
| Dallas Skin Cancer Center | Doing Business As Name - Organization |
| Street Address |
411 N WASHINGTON AVE SUITE 1200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602587 | Jane J Lee Md Pa | Allergy & Immunology | 411 N Washington Ave, Ste 2400, Dallas, TX 75246-1713 | 2005-07-08 |
| 1184268872 | Priscilla Morales | Dietitian, Registered | 411 N Washington Ave, Dallas, TX 75246-1713 | 2019-11-05 |
| 1568901015 | Deanna R Darnes | Genetic Counselor, MS | 411 N Washington Ave, Suite #3300, Dallas, TX 75246-1713 | 2017-02-16 |
| 1386182475 | Kaitlyn Nolan | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2017-02-08 |
| 1043762255 | Rachel K Parry | Speech-Language Pathologist | 411 N Washington Ave, Ste. 4000, Dallas, TX 75246-1713 | 2016-11-04 |
| 1912457102 | Radha Morar | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-10-11 |
| 1760935480 | Katie Nicole England | Physical Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2016-07-28 |
| 1013368547 | Daniel Flatley | Rehabilitation Counselor | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-06-27 |
| 1730538711 | Stephanie Hockett | Speech-Language Pathologist | 411 N Washington Ave, Ste 5000, Dallas, TX 75246-1713 | 2016-06-09 |
| 1093160848 | Kaitlyn Nicole White | Speech-Language Pathologist | 411 N Washington Ave, Suite 5000, Dallas, TX 75246-1713 | 2016-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
| 1710961248 | Willis I Cottel | Dermatology | 2215 Cedar Springs Rd, Suite 1101, Dallas, TX 75201-1859 | 2005-11-29 |
| 1538591532 | Sarah J Felton | Dermatology | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2013-08-01 |
| 1952538043 | Rajiv I Nijhawan | Dermatology | 5939 Harry Hines Blvd, Dallas, TX 75390-7201 | 2009-06-16 |
| 1578701868 | Daniel D. Witheiler, M.d. P.a. | Dermatology | 1411 N Beckley Ave, Pavilion IIi, Suite 470, Dallas, TX 75203-1259 | 2009-01-26 |
| 1215138599 | Thornwell H Parker IIi M D P A | Dermatology | 8230 Walnut Hill Ln Ste 808, Dallas, TX 75231-4469 | 2007-05-31 |
| 1689738619 | Thornwell Hay Parker IIi | Dermatology | 8230 Walnut Hill Ln Ste 808, Suite 808, Dallas, TX 75231-4469 | 2006-12-21 |
| 1760441893 | Robert Stanley Taylor IIi | Dermatology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| 1023083482 | Daniel D. Witheiler | Dermatology | 1411 N Beckley Ave, Pavilion IIi, Suite 470, Dallas, TX 75203-1264 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
| 1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
| 1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
| 1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
| 1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
| 1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
| 1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
| 1780872762 | Susan E Dozier, Md, Pa | Dermatology | 8240 N Mopac Expy Ste 355, Austin, TX 78759-8894 | 2007-10-04 |
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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.