Pasadena Dermatology Clinic, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PASADENA DERMATOLOGY CLINIC, P.A.

Practice address

1020 Pasadena Blvd
Pasadena, TX 77506-4700

Phone

(713) 477-8183

Fax

(713) 477-8187

NPI assigned

Jul 21, 2005

Last updated

May 13, 2008By 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

Edward M Shapiro, M.D.

Title

President

Phone

(713) 477-8183

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Danna Atherton Kiersh, PA-C

  • Medical Physician Assistant
  • Baytown, TX
  • NPI 1922285436
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1083613962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PASADENA BLVD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775064700",
            "telephone_number": "713-477-8183",
            "fax_number": "713-477-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PASADENA BLVD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775064700",
            "telephone_number": "713-477-8183",
            "fax_number": "713-477-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA DERMATOLOGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-477-8183",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP7295",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082532501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pasadena Clinics, Inc.
• Pasadena Community Health Group LLC
• Pasadena Counseling Center, LLC
• Pasadena Dental Care
• Pasadena Dental Smile, PLLC (Victory Smiles Dental Center of Pasadena)
• Pasadena Emergency Center, LLC
• Pasadena Emergency Medicine Associates, PA
• Pasadena Eye Associates
• Pasadena Family Clinic (Lava Rock Family Clinic)
• Pasadena Family Denistry, PLLC

• Specialist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.