DYNAMIC DERMATOLOGY, PLLC (NPI# 1043876568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043876568 |
| Entity Type | Organization |
| Organization Name | DYNAMIC DERMATOLOGY, PLLC |
| Practice Address |
13535 Hausman Pass Ste 104 San Antonio TX 78249-3581 |
| Practice Telephone | 2109515530 |
| Practice Fax Number | 2109519080 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | DR. SARAH GROFF (PRESIDENT) |
| Authorized Official Telephone | 2109515530 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
13535 HAUSMAN PASS STE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497192082 | Sarah Elizabeth Groff | Dermatology | 13535 Hausman Pass Ste 104, San Antonio, TX 78249-3581 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| 1982129706 | Goldenbear Rc Services LLC | Clinic/Center | 18756 Stone Oak Parkway, 248, San Antonio, TX 78295-7825 | 2017-08-14 |
| 1669858353 | Peachwood Wellness Pllc | Clinic/Center | 8301 Broadway, Suite 422, San Antonio, TX 78209 | 2015-08-04 |
| 1548728645 | Regenerative Clinics of San Antonio | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-03-07 |
| 1336607977 | Tina Batten | Clinic/Center | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-03-02 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1679062251 | F Silva Md Pllc | Clinic/Center | 14615 San Pedro Ave Ste 105, San Antonio, TX 78232-4364 | 2018-05-09 |
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| 1326580408 | Texas Derm Institute, Pa | Clinic/Center | 24165 W Ih 10, Suite 102, San Antonio, TX 78257-1114 | 2016-11-07 |
| 1821459827 | Geriatric and Palliative Medical Care of Texas LLC | Clinic/Center | 4879 Corian Springs Dr, San Antonio, TX 78247-5599 | 2016-03-18 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
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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.