Lockhart Matter Mohs & Surgery Center

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

LOCKHART MATTER MOHS & SURGERY CENTER

Practice address

5805 Coit Rd Ste 202
Plano, TX 75093-6990

Phone

(469) 769-3376

Fax

(469) 389-3376

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Stephens

Title

Practice Administrator

Phone

(469) 553-1030

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Eric Stephen Hollabaugh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1497749824
  Medicare reassignment NPD
• Susanne Lockhart, MD

  • Dermatology Physician
  • Prosper, TX
  • NPI 1497857585
  Medicare reassignment NPD
• Christie E Matter, MD

  • Dermatology Physician
  • Prosper, TX
  • NPI 1598745465
  Medicare reassignment NPD
• Kyle Spencer Owens, M.D.

  • Dermatology Physician
  • Prosper, TX
  • NPI 1497286322

  Single Specialty

  Medicare reassignment NPD
• Aatman Shah

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
  • NPI 1598119687

  Dermatology

  Medicare reassignment NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1124840244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 COIT ROAD",
            "address_2": "STE 203",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936990",
            "telephone_number": "469-553-1030",
            "fax_number": "469-485-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 COIT RD STE 202",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936990",
            "telephone_number": "469-769-3376",
            "fax_number": "469-389-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKHART MATTER MOHS & SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "469-553-1030"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Lo, D.D.S.
• Wilson Lo, D.D.S.
• Carolyn J Lockett
• Crystal Joy Lockett, LPC-S
• Lockhart Counseling PLLC
• Kyle Lockhart, LPC
• Tracy Anne Lockhart, MS,PT
• Donald C Loeffler, DC
• Nicole Loeffler
• Lindsay Nicole Loehrlein, CF-SLP

• MOHS-Micrographic Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.