MEDICA SKIN DIAGNOSTICS PLLC (NPI# 1467826131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467826131 |
| Entity Type | Organization |
| Organization Name | MEDICA SKIN DIAGNOSTICS PLLC |
| Practice Address |
2046 Bedford Rd Bedford TX 76021-5709 |
| Mailing Address |
126 College St S Keller TX 76248-2316 |
| Practice Telephone | 9364437504 |
| Mailing Telephone | 9364437504 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | LYDIA ESSARY (OWNER) |
| Authorized Official Telephone | 9364437504 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
K8136 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2046 BEDFORD RD |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942639455 | Dr. Samuel F Bean, Md, Pa | Dermatology | 1200 Binz St Ste 1110, Houston, TX 77004-6935 | 2013-11-05 |
| 1831417211 | Adaobi Nwaneshiudu Obasi | Dermatology | 6801 Mcpherson Rd Ste 332, Laredo, TX 78041-6417 | 2010-05-11 |
| 1366679466 | Ameripath 501a Corporation | Dermatology | 2330 Butler Street, Suite 115, Dallas, TX 75235-7800 | 2009-06-16 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| 1093865545 | Tracie Denise Swayden | Dermatology | 804 Ne Mall Blvd, Hurst, TX 76053-4653 | 2007-01-10 |
| 1265507941 | Angela Yen Moore, Md Pa | Dermatology | 711 E Lamar Blvd, Suite 200, Arlington, TX 76011-3888 | 2006-11-21 |
| 1568531739 | Melissa P Chiang | Dermatology | 5061 Fm 2920, Spring, TX 77388 | 2006-11-06 |
| 1962430108 | Andrew Marlin Morgan | Dermatology | 1001 N Twin Creek Dr, #201, Killeen, TX 76543-4268 | 2006-06-28 |
| 1245274331 | Anne E Wilkerson | Dermatology | 3010 Williams Dr, Suite 210, Georgetown, TX 78628-2764 | 2006-06-16 |
| 1699725754 | Susan Mayse Howsden | Dermatology | 825 Apple Hill Dr, Allen, TX 75013-3339 | 2006-05-11 |
| 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.