Galveston Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G4701 Issued in TX

Legal business name

GALVESTON DERMATOLOGY, P.A.

Practice address

1501 Broadway Ave
Galveston, TX 77550

Phone

(409) 763-2452

Fax

(409) 763-2458

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Ramon L Sanchez, M.D.NPI 1366556193

Title

President

Phone

(409) 763-2452

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Galveston Dermatology, P.a.

  • Clinical Medical Laboratory
  • Galveston, TX
  • NPI 1154435840

  2163464843

  Same PAC ID
• Galveston Dermatology, P.a.

  • Dermatology Physician
  • Taos, NM
  • NPI 1154586147

  2163464843

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Galveston Dermatology, P.a.

  • Clinical Medical Laboratory
  • Galveston, TX
  • NPI 1154435840

  O20071024000108

  Same enrollment

Locations

Practitioners 5

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

• Rebecca Catherine Philips, M.D.

  • Dermatopathology Physician
  • Houston, TX
  • NPI 1467711564
  Medicare reassignment Care Compare group NPD
• David Raimer, MD

  • Procedural Dermatology Physician
  • Webster, TX
  • NPI 1598956781
  Medicare reassignment Care Compare group NPD
• Ramon Larrea Sanchez, M.D.

  • Dermatology Physician
  • Galveston, TX
  • NPI 1366556193
  Medicare reassignment NPD Authorized official
• Catherine Alexis Turner, PA-C

  • Physician Assistant
  • Galveston, TX
  • NPI 1477134575
  Medicare reassignment NPD
• Liliana Rincon Alzate, M.D.

  • Dermatopathology Physician
  • Atlanta, GA
  • NPI 1891131769
  NPD

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1104091487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-763-2452",
            "fax_number": "409-763-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY AVE",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-763-2452",
            "fax_number": "409-763-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVESTON DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-763-2452",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G4701",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "G4701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080178901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00221K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070012339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galveston Accident & Injury Clinic
• Galveston Birth Center
• Galveston Broadway Drug LLC
• Galveston Chiropractic
• Galveston Dental PC
• Galveston Dermatology, P.a.
• Galveston ER Operations, LLC
• Galveston Independent School District
• Galveston Independent School District
• Galveston Isd

• Dermatology Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.