Elite Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ELITE DERMATOLOGY, PLLC

Practice address

4603 FM 1463 Rd Ste 100
Katy, TX 77494-6545

Phone

(281) 612-0050

Fax

(281) 612-0051

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By 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

Connie WangNPI 1003250457

Title

MD

Phone

(281) 612-0050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 34

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.

• Connie Mengyan Wang, M.D.

  • Dermatology Physician
  • Katy, TX
  • NPI 1003250457
  Medicare reassignment Care Compare group NPD Authorized official
• Alissa Redko Adler, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1710516497
  Medicare reassignment Care Compare group NPD
• Suzanne Alkul, MD

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1245723543
  Medicare reassignment Care Compare group NPD
• Danielle Sara Applebaum

  • Dermatology Physician
  • Katy, TX
  • NPI 1073931812
  Medicare reassignment Care Compare group NPD
• Andrew Michael Armenta, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1932764263
  Medicare reassignment Care Compare group NPD
• Jessica Lynn Boulavsky, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1508277468
  Medicare reassignment Care Compare group NPD
• Carly Dunn, MD

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
  • NPI 1578025615
  Medicare reassignment Care Compare group NPD
• Andrew Fischer, MD

  • Dermatopathology Physician
  • Houston, TX
  • NPI 1528453057

  Dermatology

  Medicare reassignment Care Compare group NPD
• Yasmin Khalfe, MD

  • Dermatology Physician
  • Fulshear, TX
  • NPI 1740868314
  Medicare reassignment Care Compare group NPD
• Christina Dasl Kwon, MD

  • Dermatology Physician
  • Fulshear, TX
  • NPI 1619482213
  Medicare reassignment Care Compare group NPD
• Diana Brosten Mannschreck, MD

  • Dermatology Physician
  • Kingwood, TX
  • NPI 1235595166
  Medicare reassignment Care Compare group NPD
• Muneeza Muhammad, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1578982203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1104337526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 FM 1463 RD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 FM 1463 RD STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946545",
            "telephone_number": "281-612-0050",
            "fax_number": "281-612-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-612-0050"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohsen S Eledrisi, MD
• Elev8 Health & Weight Loss PLLC
• Elev8 Physical Therapy & Performance
• Elevation Healthcare Services LLC
• Eli Global Inc
• Elite Physiatry PLLC
• Elite Wound Care MD, LLC
• Elizabeth a. Chen DDS, PC (Kids Healthy Teeth)
• Elizabeth Gordon MD PA
• Amanda Elizondo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.