MODERN DERMATOLOGY PLLC (NPI# 1356891576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356891576 |
| Entity Type | Organization |
| Organization Name | MODERN DERMATOLOGY PLLC |
| Practice Address |
3485 Fannin St Beaumont TX 77701-3807 |
| Practice Telephone | 4098354790 |
| Practice Fax Number | 4098352496 |
| Mailing Telephone | 4098354790 |
| Mailing Fax Number | 4098352496 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | TRINA WEST (OFFICE MANAGER) |
| Authorized Official Telephone | 4098354790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | J3153 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184068017 | Modern Dermatology Pllc | Specialist | 65 Broadway, New York, NY 10006-2503 | 2013-04-22 |
| Street Address |
3485 FANNIN ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77701-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942309620 | Norman Chalmers May | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2006-09-21 |
| 1033328315 | Norman C May Md | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296604 | Jessica Paige Seago | Licensed Vocational Nurse | 3330 Fannin, Beaumont, TX 77701 | 2018-02-27 |
| 1154833135 | Shannon Denard | Naturopath | 1595 S. M.l. King Jr. Parkway, Beaumont, TX 77701 | 2017-10-30 |
| 1558818096 | Kelli North | Nurse Practitioner | 810 Hospital Dr Ste. 235, Beaumont, TX 77701 | 2016-09-01 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1811361462 | Azuka Ginigeme | Pharmacist | 3605 College Street, Walgreens Pharmacy, Beaumont, TX 77701 | 2015-11-19 |
| 1093184921 | Coastal Spine & Pain Institute, Pllc | Specialist | 3070 College Street, Suite 300, Beaumont, TX 77701 | 2015-09-22 |
| 1831584663 | H-e-b, Lp | Clinical Medical Laboratory | 3590 College Street, Beaumont, TX 77701 | 2015-03-30 |
| 1205272648 | Yalanda S Jessie | Counselor | 755 S 11th St Ste 246, Beaumont, TX 77701 | 2013-05-13 |
| 1871856443 | Henry Clay Williams | Day Training, Developmentally Disabled Services | 2316 Orange St., Beaumont, TX 77701 | 2012-06-19 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| Find all providers in zip 77701 | ||||
| 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 |
|---|---|---|---|---|
| 1558650457 | Dr. Gary E. Vaughn M.d.p.a. | Dermatology | 810 Hospital Dr Ste 240, Beaumont, TX 77701-4654 | 2011-03-31 |
| 1043458672 | W Edward Collins Md Pa | Dermatology | 3070 College St Ste 208, Beaumont, TX 77701-4688 | 2009-02-04 |
| 1417195231 | Jana K Nunez-gussman Md Pa | Dermatology | 2929 Calder St Ste 312, Beaumont, TX 77702-1831 | 2009-02-02 |
| 1942309620 | Norman Chalmers May | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2006-09-21 |
| 1831197136 | William Allen Gilmore II | Dermatology | 3110 Fannin St, Beaumont, TX 77701-3902 | 2005-07-11 |
| 1174060677 | Dermatology and Laser Medicine of Southeast Texas Pllc | Dermatology | 350 Pine St, Suite 1438, Beaumont, TX 77701-2437 | 2017-01-23 |
| 1588044978 | Andrew Mcswigan Quinn IIi | Dermatology | 3070 College St Ste 208, Beaumont, TX 77701 | 2015-06-01 |
| 1679809362 | Peter John Morrell | Dermatology | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3000 | 2009-10-30 |
| 1295926574 | Peter Scott Nelson | Dermatology | 3030 North St, Suite 430 (beaumont Dermatology & Family Practice), Beaumont, TX 77702-1433 | 2007-08-05 |
| 1033328315 | Norman C May Md | Dermatology | 3485 Fannin St, Beaumont, TX 77701-3807 | 2007-05-22 |
| Find all providers in BEAUMONT | ||||
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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.