SAM AWAN (NPI# 1013322858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013322858 |
| Entity Type | Individual |
| Full Name | SAM AWAN |
| Credential | M.D. |
| Practice Address |
5030 Tennyson Pkwy Ste 100 Plano TX 75024 |
| Mailing Address |
5310 Harvest Hill Rd Ste 290 Dallas TX 75230-5826 |
| Practice Telephone | 9729859003 |
| Practice Fax Number | 9729851176 |
| Mailing Telephone | 2144200650 |
| Mailing Fax Number | 2147360512 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R8151 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4701 Medical Center Dr Ste 1b, Mckinney, TX 750691831 | 9729859003 | 9729851176 |
| 4701 Medical Center Dr Ste 1b, Mckinney, TX 75069 | 7299859003 | 9729851176 |
| Street Address |
5030 TENNYSON PKWY STE 100 |
| City | PLANO |
| State | TX |
| Zip Code | 75024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477964005 | Michael Meyer | Dermatology | 5030 Tennyson Pkwy Ste 100, Plano, TX 75024 | 2014-05-16 |
| 1487040564 | Caitlin Mackenzie Farmer | Dermatology | 5030 Tennyson Pkwy Ste 100, Plano, TX 75024-3397 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1457705295 | Jordan Charles Achtman | Dermatology | 4010 W Park Blvd, Plano, TX 75093-3839 | 2016-04-18 |
| 1477964005 | Michael Meyer | Dermatology | 5030 Tennyson Pkwy Ste 100, Plano, TX 75024 | 2014-05-16 |
| 1740629401 | Julie Rembold | Dermatology | 7000 Preston Rd Ste 500, Plano, TX 75024-2512 | 2013-06-17 |
| 1578882247 | Stephanie Abigail Saxton-daniels | Dermatology | 3585 National Dr Ste 180, Plano, TX 75025-0138 | 2010-05-20 |
| 1801099460 | Nicholas Richard Snavely | Dermatology | 5026 Tennyson Pkwy, Plano, TX 75024-3360 | 2007-06-08 |
| 1598745465 | Christie E Matter | Dermatology | 5805 Coit Rd, Suite 203, Plano, TX 75093-6989 | 2006-01-18 |
| 1114904802 | Elba I Rubianes | Dermatology | 6000 W Spring Creek Pkwy Ste 200, Plano, TX 75024-3617 | 2005-12-23 |
| 1902892367 | Robert Clark Terrill | Dermatology | 1220 Coit Rd, Suite 101, Plano, TX 75075-7757 | 2005-09-21 |
| Find all providers in PLANO | ||||
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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.