Organization Active NPI

Chernosky Dermatological Associates

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1093996613
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H0248 Issued in TX
Legal business name
CHERNOSKY DERMATOLOGICAL ASSOCIATES
Practice address
4646 Wild Indigo St Ste 100
Houston, TX 77027-7189
Phone
(713) 790-9270
Fax
(713) 790-1260
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Mrs. Debra L Chernosky, MDNPI 1770583494
Title
President
Phone
(713) 790-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X H0248 TX Primary

Addresses

Primary practice location

4646 Wild Indigo St Ste 100
Houston, TX 77027-7189

Mailing address

4646 Wild Indigo St Ste 100
Houston, TX 77027-7189
Phone (713) 790-9270

National Provider Directory

National Provider Directory

Locations

4646 Wild Indigo St
Ste 100
Houston, TX 77027
Phone (713) 790-9270

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1093996613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 WILD INDIGO ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277189",
            "telephone_number": "713-790-9270",
            "fax_number": "713-790-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 WILD INDIGO ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277189",
            "telephone_number": "713-790-9270",
            "fax_number": "713-790-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNOSKY DERMATOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "CHERNOSKY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-790-9270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H0248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.