Molly Mae Warthan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N2335 Issued in TX

Practice address

5751 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4131

Phone

(817) 923-8220

Fax

(817) 923-9004

NPI assigned

Jun 15, 2008

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Texas Medical Branch at Galveston, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warthan Dermatology Dallas LLCGroup PAC ID 9931554839, 2 clinicians

Warthan Dermatology Nacogdoches PLLCGroup PAC ID 9638582844, 4 clinicians

Molly M Warthan MDGroup PAC ID 7810203817, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Molly M Warthan MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1306228432
  Medicare reassignment Care Compare group NPD
• Warthan Dermatology Dallas LLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1598548257
  Medicare reassignment Care Compare group NPD
• Warthan Dermatology Nacogdoches PLLC

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1144820135
  Medicare reassignment Care Compare group NPD
• Warthan Dermatology Center

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1003350760
  NPD (past)

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1073773867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTHAN",
        "first_name": "MOLLY",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME106298",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD038210",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N2335",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "N2335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Leanne Warren, LCSW
• Tammie Warren, APRN, CPNP-AC/PC
• Timothy Mack Warren, DDS
• Ryan Anthony Warrior, DO
• William Louis Warshauer III, M.D.
• Dorcas Waruingi
• Mary Waruta, LPC
• Emily E Wascomb, DPT
• Laura Wasek-Throm, DMD,MPH
• Kaitlyn Nicole Washburn, NP

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.