Active NPI
Morrell Dermatology, P.a.
- Dermatology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M8197
- Legal business name
- MORRELL DERMATOLOGY, P.A.
- Practice address
- 3560 Delaware St
Suite 901
Beaumont, TX 77706-3000 - Phone
- (409) 898-3900
- Fax
- (409) 898-3901
- NPI assigned
- Mar 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Morrell, D.O.
- Title
- President/Owner
- Phone
- (409) 898-3900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | M8197 | TX | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | M8197 | TX |
Addresses
Primary practice location
3560 Delaware St
Suite 901
Beaumont, TX 77706-3000
Mailing address
3560 Delaware St
Suite 901
Beaumont, TX 77706-3000
Phone (409) 898-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2042281 | Other | TX | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2042281 | Morrell Dermatology, PA | Compliance | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
3560 Delaware St
Ste 901
Beaumont, TX 77706
Phone (409) 898-3900
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Dermatology Physician
- Beaumont, TX
- NPI 1679809362
-
- Family Nurse Practitioner
- Jasper, TX
- NPI 1609508084
-
- Physician Assistant
- Beaumont, TX
- NPI 1558083329
-
- Physical Medicine & Rehabilitation Physician
- Beaumont, TX
- NPI 1497985758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1033485669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 901",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-898-3900",
"fax_number": "409-898-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 901",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063000",
"telephone_number": "409-898-3900",
"fax_number": "409-898-3901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRELL DERMATOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "MORRELL",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "409-898-3900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "TX",
"license": "M8197",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "TX",
"license": "M8197",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D2042281",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Suzanne M Moree, RN-BSN, MSN, ACNP-BC
- Jonathan David Morgan, FNP-C
- Rahshea Morgan, PHARM.D.
- Morkin Companies, Inc. (Medical Technologies, Inc.)
- Mark Bradley Morman, MD
- Krystal Jean Morrell, DO
- Peter John Morrell, D.O.
- Roy J Morrell, DC
- Donnicia Morris, LPC, LBSW, LCCA
- James Matthew Morrison, APRN, FNP-C, CEN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.