DALLAS DERMATOLOGY


Address: 4724 Wellington St, Greenville, TX 75401-4944
Phone: 9725638500

DALLAS DERMATOLOGY (NPI# 1568749299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568749299
Entity Type Organization
Organization Name DALLAS DERMATOLOGY
Other Organization Name GREENVILLE DERMATOLOGY
Practice Address 4724 Wellington St
Greenville
TX 75401-4944
Mailing Address 763 E Us Highway 80
Ste. 200
Forney
TX 75126-8633
Practice Telephone 9725638500
Practice Fax Number 9725638501
Mailing Telephone 9725638500
Mailing Fax Number 9725638501
Enumeration Date 2011-11-09
Last Update Date 2013-11-07
Authorized Official Name CANDACE WALDING (BILLING MANAGER)
Authorized Official Telephone 9725638500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
K8565 TX Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology K8565 TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Greenville Dermatology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1306263256 Dallas Dermatology Dermatology 3110 Lamar Ave, Paris, TX 75460-5020 2014-03-27
1538436241 Dallas Dermatology Dermatology 2504 Ridge Rd, Ste. 203, Rockwall, TX 75087-2569 2011-11-23
1720365463 Dallas Dermatology Dermatology 9555 Lebanon Rd, Ste. 1002, Frisco, TX 75035-6095 2011-11-09

Office Location

Street Address 4724 WELLINGTON ST
City GREENVILLE
State TX
Zip Code 75401-4944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174733927 Greenville Anesthesia & Pain Management, Pllc Clinic/Center 4724 Wellington St, Greenville, TX 75401-4944 2007-05-23
1558793992 Leonard Matthew Acevedo Physician Assistant 4724 Wellington St, Greenville, TX 75401-4944 2013-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639653512 Steven Wolanski Occupational Therapy Assistant Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 2018-09-18
1184125460 Heather Rae Hudson Registered Nurse 4911 Henry St, Greenville, TX 75401 2018-02-22
1154864742 Kimberly Elaine Middleton Nurse Practitioner 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 2016-11-30
1013373885 Paul Brancheau Podiatrist 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 2016-01-11
1982079331 Foresight Home Healthcare Incorporated Home Health 2102 Frazier Street, Greenville, TX 75401 2015-12-10
1083018451 Johnny Sanders Jr. Nurse's Aide 1705 Northwest Hwy, Garland, TX 75401 2014-10-14
1942620299 Robert Chandler Duckworth Counselor 4216 Wesley Street, Suite 700, Greenville, TX 75401 2014-04-24
1164843645 Erica Rae Crawford Psychologist 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 2013-12-30
1215225057 Jordan Kelsi Mahan Nurse Practitioner 4101 Wesley St Ste D, Greenville, TX 75401 2011-07-14
1477888196 Johnny Johnson Physician Assistant 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 2009-10-14
Find all providers in zip 75401

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982138715 Skin Solution To Massage Dermatology 1 Chick Springs Rd Ste 207a, Greenville, SC 29609-4976 2017-04-19
1134393952 Dr Joseph R Terracina, Md, Pa Dermatology 2525 Highway 1 S Ste A, Greenville, MS 38701-8354 2008-04-14
1427232131 Eric J. Baker, M.d., P.a. Dermatology 26 Roper Corners Cir, Greenville, SC 29615-4833 2007-12-18
1760576383 Eric J. Baker Dermatology 26 Roper Corners Circle, Greenville, SC 29615-4833 2006-10-03
1255388310 Leslie Howard Poinsette Dermatology 28 Medical Ridge Dr, Greenville, SC 29605-4267 2006-05-27
1659323111 Wayne Glenn Rogers Dermatology 3b Cleveland Ct, Greenville, SC 29607-2414 2006-05-16
1134171473 Frances B Pardue Dermatology 7a Cleveland Ct, Greenville, SC 29607-2414 2006-05-16
1205814613 John Thomas Kuhl Dermatology 920 Woodruff Rd, Greenville, SC 29607-4105 2006-01-05
1356330963 Natures Partners Dermatology 8506 Wesley St, Greenville, TX 75402-3812 2005-10-17
1902891872 Charles M Phillips Dermatology 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Greenville, NC 27834-2849 2005-09-15
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 75401

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Dataset Information

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.

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