Nicole Reed Medical, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L4702 Issued in TX

Legal business name

NICOLE REED MEDICAL, PLLC

Doing business as

Center for Dermatology & Cosmetic Laser Surgery

Practice address

5044 Tennyson Pkwy
Ste B
Plano, TX 75024-2952

Phone

(972) 985-9003

Fax

(972) 985-1176

NPI assigned

Jan 23, 2009

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brad Johnson

Title

Manager

Phone

(972) 985-9003

Specialties & licenses 1

Addresses

Other names 1

• Center for Dermatology & Cosmetic Laser Surgery Doing business as

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Peter Selkin, MD

  • Ophthalmology Physician
  • Plano, TX
  • NPI 1235303504
  NPD
• Sam Awan, M.D.

  • Dermatology Physician
  • Plano, TX
  • NPI 1013322858
  NPD (past)
• Clay J Cockerell, MD

  • Dermatopathology Physician
  • Dallas, TX
  • NPI 1235119298
  NPD (past)
• Amy Lynn Edwards, PA-C

  • Physician Assistant
  • Waxahachie, TX
  • NPI 1497764260
  NPD (past)
• Carla Gustovich, MD

  • Dermatology Physician
  • Frisco, TX
  • NPI 1003981044
  NPD (past)
• Robert Edward Marinaro, MD

  • Dermatology Physician
  • McKinney, TX
  • NPI 1790865970
  NPD (past)
• Christie E Matter, MD

  • Dermatology Physician
  • Prosper, TX
  • NPI 1598745465
  NPD (past)
• Erica L Muller, M.D.

  • Dermatology Physician
  • Addison, TX
  • NPI 1699732974
  NPD (past)
• Diana Kim Nguyen, MD

  • Dermatology Physician
  • Richardson, TX
  • NPI 1750385688
  NPD (past)
• Diana Reyes, PA-C

  • Physician Assistant
  • Pflugerville, TX
  • NPI 1992971758
  NPD (past)
• Daniel Condie, MD

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1336536143
  NPD (past)
• Narineh Zohrabian, M.D.

  • Dermatology Physician
  • Pasadena, CA
  • NPI 1013228725
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1013155480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 TENNYSON PKWY",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242952",
            "telephone_number": "972-985-9003",
            "fax_number": "972-985-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 TENNYSON PKWY",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242952",
            "telephone_number": "972-985-9003",
            "fax_number": "972-985-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE REED MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-985-9003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L4702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dermatology & Cosmetic Laser Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William D Nicholson IV, MD
• William Henry Nicholson, DDS
• Nick Nicholson, M.D., P.a.
• Justin Ryan Nickel
• Everica Amarilda Nicolas Sebastian
• Nidi Enterprise, LLC (Silvermark Assisted Living Plano)
• Sherry C Niederkorn, M.S.,CCC-A
• Heli Maarit Niemi, M.D.
• Jorge Luis Nieto, D.C.
• Mia Nieves Dyer

• Dermatology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.