Molly M Warthan MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N2335 Issued in TX

Legal business name

MOLLY M WARTHAN MD

Practice address

5751 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4131

Phone

(817) 923-8220

Fax

(817) 923-9004

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jaclyn R Hill

Title

Office Manager

Phone

(817) 923-8220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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

• Amelia Eileen Bush Hoelscher, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1154785756
  Medicare reassignment Care Compare group NPD
• Matthew Anthony Mittelbronn, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1801838537
  Medicare reassignment Care Compare group NPD
• Molly Mae Warthan, M.D.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1073773867
  Medicare reassignment Care Compare group NPD
• Anna Grace Buck, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1174278667
  Medicare reassignment Care Compare group
• Michael William Dominisse Jr., PA

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1962914580
  Medicare reassignment Care Compare group
• Yasmin Amir, MD

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740712363

  Single Specialty, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1306228432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094131",
            "telephone_number": "817-923-8220",
            "fax_number": "817-923-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY M WARTHAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-923-8220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca D Molina, PA-C
• Jason Molinaro, BS, IONM
• Martha Maria Molinets, LPC
• Vijaya Lakshmi Pavan Molli, DDS
• Katharine Avery Molloy, CRNA
• Emeka Molokwu, PHARMD
• Greeshma Reddy Molugu, MBBS
• Momentum Health Partners PLLC
• Momentum Neuromonitoring LLC
• Fareen Momin

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.