Active NPI
Skin Cancer Consultants PA
- Procedural Dermatology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- Legal business name
- SKIN CANCER CONSULTANTS PA
- Practice address
- 12200 Park Central Drive
Suite 215
Dallas, TX 75251 - Phone
- (903) 893-6311
- NPI assigned
- Dec 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priya Zeikus, MD
- Title
- Partner
- Phone
- (903) 893-6311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | Primary |
Addresses
Primary practice location
12200 Park Central Drive
Suite 215
Dallas, TX 75251
Mailing address
1111 Sara Swamy Dr
Sherman, TX 75090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2021787 | Skin Cancer Consultants, PA | Compliance | Jul 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
12200 Park Central Dr
Ste 215
Dallas, TX 75251
Phone (903) 893-6311
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IBFCBA
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Denison, TX
- NPI 1245267434
-
- MOHS-Micrographic Surgery Physician
- Corinth, TX
- NPI 1508968694
-
- MOHS-Micrographic Surgery Physician
- Corinth, TX
- NPI 1538138029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313366400000",
"number": "1164724837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 SARA SWAMY DR",
"city": "SHERMAN",
"state": "TX",
"postal_code": "75090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 PARK CENTRAL DRIVE",
"address_2": "SUITE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "75251",
"telephone_number": "903-893-6311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CANCER CONSULTANTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-01",
"last_updated": "2011-08-15",
"status": "A",
"authorized_official_last_name": "ZEIKUS",
"authorized_official_first_name": "PRIYA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "903-893-6311",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Tammy Marie Skidmore, FNP-C, RN
- Lakiesha Nicole Skief, MSN, APRN, FNP-C
- Skilled Specialty Consultants PLLC
- Skillful Hands Hospice, Inc
- Mary Katherine Skilling, PA-C
- Skinner Chiropractic, PLLC (Action Chiropractic)
- Corey Walter Skinner, DC
- Jessica Franco Skinner, LCSW
- Jessie Lynn Skinner, MS, LPC
- Latonya Skinner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.