Fairview Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FAIRVIEW DERMATOLOGY PLLC

Practice address

331 Town PL
Fairview, TX 75069-1825

Phone

(972) 747-0000

Fax

(972) 736-4020

NPI assigned

Feb 23, 2018

Last updated

Nov 5, 2024By 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

Andrew Hudson, MDNPI 1700349941

Title

Physician

Phone

(806) 570-5338

Specialties & licenses 1

Addresses

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 5

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.

• Andrew Dewayne Hudson, MD

  • Dermatology Physician
  • Fairview, TX
  • NPI 1700349941
  Medicare reassignment Care Compare group NPD Authorized official
• Kevelyn Ashley Rose, MD

  • Dermatology Physician
  • Fairview, TX
  • NPI 1114556651
  Medicare reassignment Care Compare group NPD
• Grace Cartwright Erturkuner, PA-C

  • Physician Assistant
  • Fairview, TX
  • NPI 1518500453
  Medicare reassignment Care Compare group
• Helen Kim-James, M.D.

  • Dermatology Physician
  • Fairview, TX
  • NPI 1588647747
  Medicare reassignment NPD
• Michelle Kukielski, PA-C

  • Physician Assistant
  • Plano, TX
  • NPI 1578053013
  Medicare reassignment

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1073014114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TOWN PL",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750691825",
            "telephone_number": "972-747-0000",
            "fax_number": "972-736-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TOWN PL",
            "city": "FAIRVIEW",
            "state": "TX",
            "postal_code": "750691825",
            "telephone_number": "972-747-0000",
            "fax_number": "972-736-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "806-570-5338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guijun Du
• Judy Eastburn, IBCLC
• Grace Cartwright Erturkuner, PA-C
• Justine M Evans, RN
• Harry Everett, DMIN
• Fairview-Allen Orthodontics, PA
• Tina Feng, DDS
• Sophia Fluty
• Lauren Michelle Fox, FNP-C, CPNP-PC
• Allen Gandy, DDS, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.