Advanced Skin Treatment Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

J5732 Issued in TX

Legal business name

ADVANCED SKIN TREATMENT CENTER

Practice address

2609 Wolflin VLG
Amarillo, TX 79109-1838

Phone

(806) 358-1117

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Elaine R Cook, M.D.NPI 1376811372

Title

President

Phone

(806) 358-1117

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elaine Remmers Cook, M.D.

  • Dermatology Physician
  • Amarillo, TX
  • NPI 1376811372
  NPD (past) Authorized official

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1205939436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 WOLFLIN VLG",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091838",
            "telephone_number": "806-358-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 WOLFLIN VLG",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091838",
            "telephone_number": "806-358-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SKIN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-358-1117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "J5732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.