High Plains Dermatology Center, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HIGH PLAINS DERMATOLOGY CENTER, P.A.

Practice address

4302 Wolflin Ave
Amarillo, TX 79106-5959

Phone

(806) 355-9866

Fax

(806) 355-4004

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Ronald Hague

Title

Admin

Phone

(806) 355-9866

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Enos, MD

  • Dermatology Physician
  • Amarillo, TX
  • NPI 1467988352
  Medicare reassignment Care Compare group NPD
• Jason Kyle Jones, M.D.

  • Dermatology Physician
  • Amarillo, TX
  • NPI 1083932107
  Medicare reassignment Care Compare group NPD
• Scott D Miller, MD

  • Dermatology Physician
  • Amarillo, TX
  • NPI 1790722916
  Medicare reassignment Care Compare group NPD
• Christi Anne Baker, M.D.

  • Dermatology Physician
  • Amarillo, TX
  • NPI 1275858433
  Medicare reassignment NPD
• Larry C Roberts, MD

  • Dermatopathology Physician
  • Canyon, TX
  • NPI 1578565859

  Specialist

  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1083667117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866",
            "fax_number": "806-355-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866",
            "fax_number": "806-355-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PLAINS DERMATOLOGY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "HAGUE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "806-355-9866"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084882201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Hickman, M.D.
• Marlee Deann Hicks
• Vikki Jo Hicks
• Sonia Lea Higgins, M.ED. LPC
• High Plains Chiropractic, PLLC
• High Plains Ear Nose & Throat Associates PLLC
• High Plains Ear Nose & Throat Associates PLLC
• High Plains Eye Health Center, Inc.
• High Plains HCA LLC (Heroes Home Care)
• High Plains Home Medical Equipment, Inc. (High Plains Home Medical)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.