Skin MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L8526 Issued in TX

Legal business name

SKIN MD PA

Practice address

8820 Martin Dr
North Richland Hills, TX 76182-4801

Phone

(817) 595-4500

Fax

(817) 595-4505

NPI assigned

Feb 15, 2010

Last updated

Feb 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Tracie Denise Swayden, MDNPI 1093865545

Title

President

Phone

(817) 595-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracie Denise Swayden, MD

  • Dermatopathology Physician
  • Hurst, TX
  • NPI 1093865545
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Eldon Roberts, M.D.

  • MOHS-Micrographic Surgery Physician
  • Jbsa Lackland, TX
  • NPI 1629494935

  Dermatology

  Medicare reassignment Care Compare group NPD
• Yang Xia, MD

  • MOHS-Micrographic Surgery Physician
  • Boerne, TX
  • NPI 1225135817

  Dermatology

  Medicare reassignment Care Compare group NPD
• Leonard Matthew Acevedo, P.A-C, MPAS

  • Physician Assistant
  • Greenville, TX
  • NPI 1558793992
  Medicare reassignment Care Compare group
• Linda Hua, PA-C

  • Physician Assistant
  • Hurst, TX
  • NPI 1326424151
  Medicare reassignment Care Compare group
• Michael Colin Milliken, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1629275037
  Medicare reassignment NPD
• Karen S Sticka, PA

  • Physician Assistant
  • Hurst, TX
  • NPI 1780838136
  Medicare reassignment

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1215259452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 MARTIN DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824801",
            "telephone_number": "817-595-4500",
            "fax_number": "817-595-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 MARTIN DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761824801",
            "telephone_number": "817-595-4500",
            "fax_number": "817-595-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "SWAYDEN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-595-4500",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L8526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Silva
• Tracie Simpson, ACNPC, FNP-BC
• Allison Sims, PT, DPT
• Lakheram Singh, M.D.
• Padmapriya Sivaraman, M.D.
• Skots Medical Transportation LLC
• Sha'Neal N Smith-Shelby
• Demetria M Smith, MD
• Greg Smith, PHARMD
• Jannie Smith

• Dermatology Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.