PETER J MALOUF (NPI# 1225047012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225047012 |
| Entity Type | Individual |
| Full Name | PETER J MALOUF |
| Credential | D.O. |
| Practice Address |
203 Walls Dr Ste 100 Cleburne TX 76033 |
| Mailing Address |
5825 Edwards Ranch Rd Ste 201 Ft Worth TX 76109-4122 |
| Practice Telephone | 8172053075 |
| Practice Fax Number | 8176413355 |
| Mailing Telephone | 8172053075 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | K0518 | TX | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
K0518 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
203 WALLS DR STE 100 |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596869 | Malathi Chamarthi Raju Md Pa | Internal Medicine | 203 Walls Dr Ste 100, Cleburne, TX 76033-7029 | 2019-09-07 |
| 1134615206 | Concierge Dermatology Management, LLC | Dermatology | 203 Walls Dr Ste 100, Cleburne, TX 76033-7029 | 2018-07-02 |
| 1477716116 | Malathi Chamarthi Raju | Internal Medicine | 203 Walls Dr Ste 100, Cleburne, TX 76033-7029 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628631 | Barbara Hicks | Technician | 1020 Highland Rd, Cleburne, TX 76033 | 2019-09-12 |
| 1346758315 | Tabatha Estes | Physician Assistant | 2010 W Katherine P Raines Rd Ste 100, Cleburne, TX 76033 | 2018-01-11 |
| 1053836759 | A Bright Foundation | Community/Behavioral Health | 509 Graham Street, Cleburne, TX 76033 | 2017-08-03 |
| 1891162491 | Lesa Hough | Occupational Therapist | 1503 Twin Oaks Ct, Cleburne, TX 76033 | 2015-08-31 |
| 1043695984 | Eduy J James | Nurse Practitioner | 128 S. Ridgeway Drive, Cleburne, TX 76033 | 2015-07-21 |
| 1306235775 | Bavousett's Caring Keepers | Registered Nurse | 405 N. Ridgeway Dr., Suite 1-a, Cleburne, TX 76033 | 2015-01-22 |
| 1679994313 | Health Imaging Partners LLC | Physiological Laboratory | 203 Walls Drive, Ste 101, Cleburne, TX 76033 | 2013-12-24 |
| 1043641079 | Melinda Weber | Counselor | 1819 Cr #1107a, Cleburne, TX 76033 | 2013-12-02 |
| 1356778070 | Jeremy Lamar Carter | Psychologist | 904 E Henderson St, Cleburne, TX 76033 | 2013-09-27 |
| 1770844102 | Heart To Heart Hospice of The Brazos, LLC | Hospice Care, Community Based | 1200 W Henderson St Ste I, Cleburne, TX 76033 | 2012-06-01 |
| Find all providers in zip 76033 | ||||
| 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 |
|---|---|---|---|---|
| 1558357152 | Wade Hamrick Smith | Dermatology | 812 N Nolan River Rd, Cleburne, TX 76033-7012 | 2005-09-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.