Proderm PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

PRODERM PLLC

Doing business as

ProDerm Skin & Surgery

Practice address

4516 Seton Center Pkwy
Ste 150
Austin, TX 78759-5370

Phone

(512) 535-6000

Fax

(512) 610-0262

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Sydney Larkin Proffer, MDNPI 1588283253

Title

Sole Member

Phone

(512) 535-6000

Specialties & licenses 1

Addresses

Other names 1

• ProDerm Skin & Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sydney Larkin Proffer, MD, MS

  • MOHS-Micrographic Surgery Physician
  • Austin, TX
  • NPI 1588283253
  Medicare reassignment NPD Authorized official
• Madeline Borel, PA-C, MPH

  • Physician Assistant
  • Austin, TX
  • NPI 1467313353
  NPD

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1184410987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 SETON CENTER PKWY",
            "address_2": "STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595370",
            "telephone_number": "512-535-6000",
            "fax_number": "512-610-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 SETON CENTER PKWY",
            "address_2": "STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595370",
            "telephone_number": "512-535-6000",
            "fax_number": "512-610-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODERM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "PROFFER",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "512-535-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProDerm Skin & Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProDerm Skin & Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Procare Equipment and Supplies Inc
• Procare Equipment LLC
• Tzvi Prochnik, LCSW
• Luke Prochnow, PHYSICIAN ASSISTANT
• Ross F Prochnow, MD
• Prodigy Care Services LLC (Prodigy Rx)
• Professional Collaborative Consulting, L.L.C. (Collaborative Consulting)
• Professional Perioperative Services, PLLC
• Professional Respiratory Home Healthcare Inc (Rotech)
• Sydney Larkin Proffer, MD, MS

• MOHS-Micrographic Surgery Physician in Austin, TX
• Providers in Austin, 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 Jun 17, 2025; 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.

Verify at the official NPI Registry.