DERMATOLOGY OF IRVING PLLC (NPI# 1083961254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083961254 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY OF IRVING PLLC |
| Other Organization Name | THE DERMATOLOGY CENTER |
| Practice Address |
2021 N Macarthur Blvd Suite 300 Irving TX 75061-2219 |
| Mailing Address |
902 Clint Moore Rd Suite 226 Boca Raton FL 33487-2800 |
| Practice Telephone | 9722543118 |
| Mailing Telephone | 5613142000 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Authorized Official Name | ADAM S PLOTKIN (OWNER) |
| Authorized Official Telephone | 5613142000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Dermatology Center | Doing Business As Name - Organization |
| Street Address |
2021 N MACARTHUR BLVD SUITE 300 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689919 | Sridevi Juvvadi | Internal Medicine | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061 | 2005-06-15 |
| 1285281857 | Taylor Brooke Diehl | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-08-19 |
| 1497213227 | Hannah Coy Bashaw | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-03-11 |
| 1669996146 | Kaylee Currie | Social Worker | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2017-07-27 |
| 1215332218 | Raymond Kwan | Physician Assistant | 2021 N Macarthur Blvd, Ste 350, Irving, TX 75061-2219 | 2014-11-03 |
| 1003233370 | Bilkish Chunara | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061-2219 | 2014-03-25 |
| 1508107657 | Crystal Kittisopikul | Physician Assistant | 2021 N Macarthur Blvd, Suite 350, Irving, TX 75061-2219 | 2013-03-13 |
| 1780947382 | Leslie Johanson | Nurse Practitioner | 2021 N Macarthur Blvd, 150, Irving, TX 75061-2219 | 2012-06-19 |
| 1578851275 | Sheila Marie Jones | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 250, Irving, TX 75061-2219 | 2011-07-14 |
| 1982999041 | Megan Deblieck | Physical Therapist | 2021 N Macarthur Blvd, Suite 550, Irving, TX 75061-2219 | 2011-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
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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 |
|---|---|---|---|---|
| 1770798233 | Dermatology Center,pa | Dermatology | 2015 Westpark Dr, Irving, TX 75061-2113 | 2007-05-10 |
| 1063594299 | Carolyn Kim | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061-7506 | 2006-10-19 |
| 1285634055 | Lawrence B Meyerson | Dermatology | 2021 N Macarthur Blvd #300, Irving, TX 75061-2113 | 2005-07-22 |
| 1851836928 | Pure Dermatology Center | Dermatology | 2005 West Park Drive, Suite 120, Irving, TX 75061 | 2016-12-28 |
| 1740571496 | Jennifer Natasha David | Dermatology | 2021 N Macarthur Blvd Ste 450, Irving, TX 75061-2219 | 2011-04-28 |
| 1366768079 | Jennifer Marie Quinn | Dermatology | 2021 N Macarthur Blvd, Suite 450, Irving, TX 75061-2219 | 2010-04-20 |
| 1407041114 | Las Colinas Dermatology Pa | Dermatology | 440 W Ih 635 Fwy, 365, Irving, TX 75063-3768 | 2007-09-06 |
| 1043222714 | Scott Wickless | Dermatology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2006-08-12 |
| 1417957630 | Raymond L Garcia | Dermatology | 2021 N Macarthur Blvd, #300, Irving, TX 75061-2113 | 2005-07-29 |
| 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 |
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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.