Downtown Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M8331 Issued in TX

Legal business name

DOWNTOWN DERMATOLOGY PLLC

Practice address

4118 McCullough Ave Ste 18
San Antonio, TX 78212-1905

Phone

(210) 901-9353

Fax

(210) 227-4297

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Christy Shaffer Rainey, MDNPI 1790999100

Title

President

Phone

(210) 901-9353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Castle Hills Dermatology Clinic Doing business as
• RFSA Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy Shaffer Rainey, M.D.

  • Dermatology Physician
  • Branson, MO
  • NPI 1790999100

  TX

  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey Brooke Finklea, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1528294055
  Medicare reassignment Care Compare group NPD
• Shauna Kroll, NP-C

  • Family Nurse Practitioner
  • Floresville, TX
  • NPI 1114460151
  Medicare reassignment Care Compare group NPD
• Gordon Kim Rainey, MD

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1528046331
  Medicare reassignment Care Compare group NPD
• Regina Marie Tengler, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1871335828
  Medicare reassignment NPD
• Felipe Galvan, PA

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1841327459
  Medicare reassignment

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1013320258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17348",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782170348",
            "telephone_number": "210-901-9353",
            "fax_number": "210-227-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 MCCULLOUGH AVE STE 18",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121905",
            "telephone_number": "210-901-9353",
            "fax_number": "210-227-4297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10603 West Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131691",
            "country_code": "US",
            "telephone_number": "210-901-9353",
            "fax_number": "210-227-4297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "497 10th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Floresville",
            "state": "TX",
            "postal_code": "781143178",
            "country_code": "US",
            "telephone_number": "210-901-9353",
            "fax_number": "210-227-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOWNTOWN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "RAINEY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "SHAFFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-901-9353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M8331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339660801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Hills Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RFSA Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendall Downing, PT, DPT
• Meghan Chupick Downing, CRNA
• Tafi L Downing, D.C.
• John M Downs, LPC
• Mirza Downs
• Downtown South Texas Center for Pediatric Care
• Downtown South Texas Center for Pediatric Care
• Dox in the Box, PA
• Virginia Lee Doyal, PHARM D
• Heather H Doyle, APRN

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.