Individual provider Active NPI

Thomas Walton Schulze, M.D.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1073675625
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D3393 Issued in TX
Practice address
720 W 34TH St Ste 210
Austin, TX 78705-1205
Phone
(512) 450-1001
Fax
(512) 302-9723
NPI assigned
Dec 13, 2006
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D3393 TX Primary

Addresses

Primary practice location

720 W 34TH St Ste 210
Austin, TX 78705-1205

Mailing address

720 W 34TH St Ste 210
Austin, TX 78705-1205
Phone (512) 450-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of San Antonio, PLLC Dermatology CurrentSince Nov 1, 2023 Accepting new patients

Locations

720 W 34th St
Ste 210
Austin, TX 78705
Phone (512) 450-1001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1073675625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-450-1001",
            "fax_number": "512-302-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051205",
            "telephone_number": "512-450-1001",
            "fax_number": "512-302-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "THOMAS",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "D3393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.