Wellworx Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WELLWORX DERMATOLOGY PLLC

Practice address

5899 Preston Rd Ste 804
Frisco, TX 75034-9586

Phone

(682) 268-0555

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Pham, DONPI 1407173230

Title

Managing Member

Phone

(817) 718-3571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 12

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

• Ryan Pham, D.O

  • Dermatology Physician
  • Burleson, TX
  • NPI 1407173230
  Medicare reassignment NPD Authorized official
• Jayme Lauren Chapados, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1790206969
  NPD (past)
• Hong DO, FNP-BC

  • Nurse Practitioner
  • Burleson, TX
  • NPI 1639683576
  NPD (past)
• Tram Ho, MPAS, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1093146805
  NPD (past)
• Cassandra Layne Kenny, PA-C

  • Physician Assistant
  • Granbury, TX
  • NPI 1386181048
  NPD (past)
• Nhi Le, D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1043670409
  NPD (past)
• Stacey Lopez, PA-C

  • Physician Assistant
  • Burleson, TX
  • NPI 1134769292
  NPD (past)
• Lynn VI Nguyen, PA

  • Dermatology Physician
  • Frisco, TX
  • NPI 1346746856
  NPD (past)
• Nguyet Anh Nguyen, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Midlothian, TX
  • NPI 1083143093
  NPD (past)
• Stephanie Chan Nguyen

  • Medical Physician Assistant
  • Burleson, TX
  • NPI 1316257314
  NPD (past)
• Heather Reagin, DO

  • Dermatology Physician
  • Saginaw, TX
  • NPI 1407260151
  NPD (past)
• Amy Sanders

  • Nurse Practitioner
  • Burleson, TX
  • NPI 1093194789
  NPD (past)

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1164244703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 LAKOTA TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632312",
            "telephone_number": "817-718-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 804",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349586",
            "telephone_number": "682-268-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLWORX DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-718-3571",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness4Ever Primary Care PLLC
• Kimberly Diez Wells, M.S.
• Muta Wells, LPC, LCDC
• Tadrayia Wells
• Wellversed Pediatric Therapy
• Michael Andrew Welty, LPC
• Richard Wendling
• Lindsey Wertheim, NP
• West Anesthesia Associates PLLC
• West Texas General & Vascular Surgery PLLC (Vascular 360)

• Dermatology Physician in Frisco, TX
• Providers in Frisco, 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 7, 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.