Angel Sun Puryear, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P5878 Issued in TX

Practice address

7435 Highway 6 Ste B
Missouri City, TX 77459-4698

Phone

(832) 342-9700

NPI assigned

Jun 22, 2009

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Texas Tech University Health Science Center School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sienna Dermatology, PLLCGroup PAC ID 0941576904, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sienna Dermatology, PLLC

  • Dermatology Physician
  • Missouri City, TX
  • NPI 1811410319
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265669881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE B",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594698",
            "telephone_number": "832-342-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 HIGHWAY 6 STE B",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594698",
            "telephone_number": "832-342-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5044 Tennyson Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750242952",
            "country_code": "US",
            "telephone_number": "972-985-9003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURYEAR",
        "first_name": "ANGEL",
        "middle_name": "SUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P5878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shajan Joseph Pulickiel
• Noemi Pulido, CPHT
• Pulmocare
• Pura Vitality Wellness
• Purposeful Healthcare Services
• Quail Valley Family Dental
• Quality Activity Center
• Quality Comfort Care Homes, LLC
• Quality Personal Care Homes Inc
• Destinee D Quick

• Dermatology Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.