Galveston Dermatology, P.a.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D0950289 Issued in TX

Legal business name

GALVESTON DERMATOLOGY, P.A.

Practice address

1501 Broadway St
Galveston, TX 77550-4906

Phone

(409) 763-6534

Fax

(409) 763-2458

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ramon L Sanchez, M.D.NPI 1366556193

Title

President

Phone

(409) 763-6534

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Galveston Dermatopathology Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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.

  • Dermatology Physician
  • Galveston, TX
  • NPI 1104091487

  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.

  • Dermatology Physician
  • Galveston, TX
  • NPI 1104091487

  O20071024000108

  Same enrollment

Tax ID family

Galveston Dermatology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Galveston Dermatology, P.a.

  • Dermatology Physician
  • Taos, NM
  • NPI 1154586147
  NPD tax ID

Locations

Practitioners 4

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

• Ramon Larrea Sanchez, M.D.

  • Dermatology Physician
  • Galveston, TX
  • NPI 1366556193
  NPD Authorized official
• Rebecca Catherine Philips, M.D.

  • Dermatopathology Physician
  • Houston, TX
  • NPI 1467711564
  NPD
• David Raimer, MD

  • Procedural Dermatology Physician
  • Webster, TX
  • NPI 1598956781
  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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1154435840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504906",
            "telephone_number": "409-763-6534",
            "fax_number": "409-763-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504906",
            "telephone_number": "409-763-6534",
            "fax_number": "409-763-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALVESTON DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-07-18",
        "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": "409-763-6534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0950289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00413770",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galveston Dermatopathology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Galveston Medical Supplies, Inc

• Clinical Medical Laboratory in Galveston, TX
• Providers in Galveston, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.