Organization Active NPI

Dr. W. Dermatology

  • Dermatology Physician
  • Katy, TX
National Provider Identifier
1215202015
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F0346 Issued in TX
Legal business name
DR. W. DERMATOLOGY
Practice address
22028C Highland Knolls Dr
Katy, TX 77450-5859
Phone
(281) 395-7770
Fax
(281) 395-7775
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Seymour Marcus Weaver III, M.D.NPI 1225126956
Title
President
Phone
(281) 395-7770

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X F0346 TX Primary

Addresses

Primary practice location

22028C Highland Knolls Dr
Katy, TX 77450-5859

Mailing address

22028C Highland Knolls Dr
Katy, TX 77450-5859
Phone (281) 395-7770

National Provider Directory

National Provider Directory

Locations

22028 Highland Knolls Dr
Ste C
Katy, TX 77450
Phone (281) 395-7770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1215202015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22028C HIGHLAND KNOLLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505859",
            "telephone_number": "281-395-7770",
            "fax_number": "281-395-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22028C HIGHLAND KNOLLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505859",
            "telephone_number": "281-395-7770",
            "fax_number": "281-395-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. W. DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SEYMOUR",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-395-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F0346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.