Organization Active NPI

Bayshore Dermatology Clinic

  • Dermatology Physician
  • Pasadena, TX
National Provider Identifier
1215428297
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BAYSHORE DERMATOLOGY CLINIC
Practice address
3901 Woodlawn Ave
Pasadena, TX 77504-1956
Phone
(713) 946-2666
Fax
(713) 946-9595
NPI assigned
May 24, 2018
Last updated
May 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Robert S Tausend, MD
Title
MD
Phone
(713) 946-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

3901 Woodlawn Ave
Pasadena, TX 77504-1956

Mailing address

3901 Woodlawn Ave
Pasadena, TX 77504-1956
Phone (713) 946-2666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1215428297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041956",
            "telephone_number": "713-946-2666",
            "fax_number": "713-946-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041956",
            "telephone_number": "713-946-2666",
            "fax_number": "713-946-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE DERMATOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "TAUSEND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "713-946-2666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.