Thrive Family Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THRIVE FAMILY DERMATOLOGY, PLLC

Practice address

788 S Watters Rd Ste 120
Allen, TX 75013-5123

Phone

(972) 649-6999

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Anna Vawter, MDNPI 1609985811

Title

MD

Phone

(972) 954-5573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Anna B Vawter, MD

  • Dermatology Physician
  • Allen, TX
  • NPI 1609985811
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1184148355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S WATTERS RD STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135123",
            "telephone_number": "972-649-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FAMILY DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "VAWTER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-954-5573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Thompson, PA-C
• Robin Thompson, RPH
• Thor Anesthesia Associates PLLC
• Deepthi Thotakura, M.D
• Thrive Dental Allen PLLC
• Shelby Tidwell
• Tiffany Gay Tinkler, RPH
• TLC Pediatrics, P.a.
• Sonya To, M.S. CCC-SLP
• Madeline Todd, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.