Texas Skin Surgery Center, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L8826 Issued in TX

Legal business name

TEXAS SKIN SURGERY CENTER, P.A.

Practice address

4716 Alliance Blvd.
Suite 150
Plano, TX 75093

Phone

(214) 564-0947

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Paul Thomas Martinelli, M.D.NPI 1194813543

Title

Director

Phone

(214) 564-0947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHABA
• FHIR API: https://app.meldrx.com/api/fhir/ez_00412

Practitioners 2

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

• Paul T Martinelli, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1194813543
  Medicare reassignment Care Compare group NPD Authorized official
• James David Russell, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1891084968
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1093031106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 EMERSON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051064",
            "telephone_number": "214-564-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD.",
            "address_2": "SUITE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "214-564-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SKIN SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "MARTINELLI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-564-0947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Premier OB/GYN Center PLLC
• Texas Prime Dental Group PC
• Texas Radiology Associates LLP
• Texas Retina Associates
• Texas Sam Holdings, LLC
• Texas Southwestern Medical Center at Dallas
• Texas Spine and Joints PLLC
• Texas Spine Consultants, LLP
• Texas Spine Consultants, LLP
• Texas Spine Group PLLC

• Medical Specialty Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.