DR. MARK GROGAN TUSA (NPI# 1033395074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033395074 |
| Entity Type | Individual |
| Full Name | DR. MARK GROGAN TUSA |
| Credential | MD |
| Practice Address |
409 W Adams Ave Temple TX 76501-4211 |
| Practice Telephone | 2547423775 |
| Mailing Telephone | 2547423775 |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | M8395 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
409 W ADAMS AVE |
| City | TEMPLE |
| State | TX |
| Zip Code | 76501-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245226547 | Roger W. Kylberg | Family Medicine | 409 W Adams Ave, Temple, TX 76501-4211 | 2005-09-22 |
| 1023535549 | Benjamin Joseph Klein | Psychologist | 409 W Adams Ave, Temple, TX 76501-4211 | 2017-08-25 |
| 1952823064 | Cuong The Bui | Nurse Practitioner | 409 W Adams Ave, Temple, TX 76501-4211 | 2017-07-11 |
| 1538519061 | Thuy My Truong Bui | Family Medicine | 409 W Adams Ave, Temple, TX 76501-4211 | 2016-06-15 |
| 1609225382 | Christie Giebler Richter | Nurse Practitioner | 409 W Adams Ave, Temple, TX 76501-4211 | 2016-06-03 |
| 1952782146 | Matthew Aaron Meece | Family Medicine | 409 W Adams Ave, Temple, TX 76501 | 2015-06-12 |
| 1225389133 | Vanessa T Yawn | Physician Assistant | 409 W Adams Ave, Temple, TX 76501-4211 | 2012-10-02 |
| 1972865426 | Daniel William Elliott | Family Medicine | 409 W Adams Ave, Temple, TX 76501-4211 | 2012-06-11 |
| 1427333186 | Rebecca L Martin | Physician Assistant | 409 W Adams Ave, Temple, TX 76501-4211 | 2011-10-13 |
| 1700174075 | Kirstin S Altman | Dermatology | 409 W Adams Ave, Temple, TX 76501-4211 | 2011-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437549755 | Modern Psychologist Network LLC | Psychologist | 16 E Avenue A Ste 212, Temple, TX 76501 | 2015-01-24 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1124300405 | James Devin Dean | Optometrist | 508 W Munroe Ave, Temple, TX 76501 | 2011-09-13 |
| 1700036282 | Melee Munoz | Counselor | 616 N. Main Street Ste. 200, Temple, TX 76501 | 2008-09-22 |
| 1801917315 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 5704 Little Flock Rd, Temple, TX 76501 | 2007-04-02 |
| 1245390830 | E Gordon Marshall Jr. | Dentist | 18 South Main, Suite 516, Temple, TX 76501 | 2006-12-12 |
| 1184728362 | Vijay Mehta | Surgery | 1901 Veterans Blvd, Central Texas Veterans Health Care System, Dept Surgery, Temple, TX 76501 | 2006-09-11 |
| 1306807953 | Alisha Jilly Roff | Physician Assistant | 304 S. 22nd Street, Temple, TX 76501 | 2006-03-31 |
| 1619136918 | Joshua D Caballero | Pharmacist | 2401 South 31st Street, Dept of Emergency Medicine, Temple, TX 76501 | 2008-06-03 |
| 1104018530 | Marguerite Murray Kay | Internal Medicine | Department of Veterans Affairs, 1901 South First Street, Temple, TX 76501 | 2007-08-09 |
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| 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 |
|---|---|---|---|---|
| 1689069312 | Bradley Evanson | Dermatology | 2401 S 31st St Bldg 27, Temple, TX 76508-1261 | 2015-03-31 |
| 1336143262 | Bruce Fleming Mcdonald | Dermatology | 5603 Stecher Ct, Temple, TX 76502-7919 | 2005-06-09 |
| 1013368851 | Christopher Terrence Haley | Dermatology | 2401 S 31st St, Ms-01-e443, Temple, TX 76508-0001 | 2016-06-22 |
| 1609254564 | Tahmina Mahmood | Dermatology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-12 |
| 1285012153 | Jordan Leigh Jamerson | Dermatology | 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-12 |
| 1922418482 | Shannon Brown | Dermatology | 2401 S 31st St, Temple, TX 76508 | 2014-05-05 |
| 1902249840 | Lindsay M. Bicknell | Dermatology | 2401 S 31st St, Temple, TX 76508-0001 | 2013-04-10 |
| 1700174075 | Kirstin S Altman | Dermatology | 409 W Adams Ave, Temple, TX 76501-4211 | 2011-07-20 |
| 1093036204 | Natalie Brittan Lane | Dermatology | 2401 S 31st St, Temple, TX 76508-9410 | 2010-06-22 |
| 1831327725 | Karina Parr | Dermatology | 2401 S 31st St, Temple, TX 76508-0001 | 2009-06-30 |
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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.