SKIN AND RADIATION SPECIALISTS PLLC (NPI# 1972970036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972970036 |
| Entity Type | Organization |
| Organization Name | SKIN AND RADIATION SPECIALISTS PLLC |
| Practice Address |
6513 Preston Rd Suite 300 Plano TX 75024-2694 |
| Mailing Address |
55 Orchard Ct Woodbury NY 11797-2801 |
| Practice Telephone | 9724039777 |
| Practice Fax Number | 9724039222 |
| Mailing Telephone | 5163673371 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | RENU HAUSEN (MANAGER) |
| Authorized Official Telephone | 5165781226 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
H9745 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6513 PRESTON RD SUITE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882263 | Thomas A West | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2005-06-21 |
| 1992182703 | Brachytherapy Centers of Texas LLC | Radiology | 6513 Preston Rd, Suite #300, Plano, TX 75024-2688 | 2015-04-30 |
| 1487952909 | Elective Surgical Care Specialists,pllc | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2011-03-08 |
| 1700045861 | Smile Island Dental, Pllc | Dentist | 6513 Preston Rd, Suite 500, Plano, TX 75024-2688 | 2008-06-04 |
| 1366646143 | Elizabeth Carroll Kim | Surgery | 6513 Preston Rd, Plano, TX 75024-2688 | 2007-06-13 |
| 1609964394 | Mark O Tucker | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-10-10 |
| 1619071925 | Craig Owen Daniel | Surgery | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-09-08 |
| 1982719837 | Tiffany Merrill Ketzle | Nurse Practitioner | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-08-20 |
| 1215971247 | John D Josephs | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-16 |
| 1205878766 | Kent K Skipper | Specialist | 6513 Preston Rd, Suite 300, Plano, TX 75024-2688 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083925960 | Odette Louise Campbell, Md, Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-06-25 |
| 1356362719 | James Joseph Petrikas Sr. | Radiology | 4708 Alliance Blvd Ste 150, Plano, TX 75093-5339 | 2006-07-21 |
| 1952345571 | Robert Steven Bradfield | Radiology | 5948 W Parker Rd Ste 100, Plano, TX 75093-7732 | 2006-06-15 |
| 1104353580 | Radiant Medical Ventures | Radiology | 6957 W Plano Pkwy, Ste 1300, Plano, TX 75093-1620 | 2017-05-17 |
| 1164962973 | Radiant Medical Ventures, Pa | Radiology | 6957 W Plano Pkwy, Ste 1300, Plano, TX 75093-1620 | 2017-02-27 |
| 1992182703 | Brachytherapy Centers of Texas LLC | Radiology | 6513 Preston Rd, Suite #300, Plano, TX 75024-2688 | 2015-04-30 |
| 1588005342 | Wilhelm Lubbe Md Phd Pllc | Radiology | 6957 W Plano Pkwy, Ste. 1300, Plano, TX 75093-1620 | 2013-07-09 |
| 1922388487 | Wilhelm Lubbe | Radiology | 6957 W Plano Pkwy, Suite 1300, Plano, TX 75093-1620 | 2011-08-27 |
| 1366750325 | Odette Louise Campbell Md Pa | Radiology | 5072 W Plano Pkwy Ste 220, Plano, TX 75093-4475 | 2010-09-23 |
| 1114186616 | Urology Clinics of North Texas, Pllc | Radiology | 6124 W Parker Rd, Suite 434, Plano, TX 75093-8122 | 2008-06-09 |
| Find all providers in PLANO | ||||
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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.