Mismo Skin and Wound Institute TX

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MISMO SKIN AND WOUND INSTITUTE TX

Practice address

1303 Autumn Mist Way
Arlington, TX 76005-4533

Phone

(214) 621-4303

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jamison Feramisco, MD, PHD

Title

President

Phone

(214) 621-4303

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1124783139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E LAMAR BLVD STE 346",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113504",
            "telephone_number": "214-621-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 AUTUMN MIST WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054533",
            "telephone_number": "214-621-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISMO SKIN AND WOUND INSTITUTE TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "FERAMISCO",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-621-4303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirabella Health Services LLC
• Miracle Works PLLC
• Angelo James Angeles Misajon, DPT
• Sushila Mishra, FNP
• Mismo Derm and Wound TX Ed PLLC
• Mission Care Hospice LLC
• Mission Haven Rediemed
• Mission Metroplex, Inc.
• Angela Diane Mitchell, PH.D
• Annisa Mitchell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.