San Antonio Skin Care and Dermatology Clinic, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SAN ANTONIO SKIN CARE AND DERMATOLOGY CLINIC, PA

Practice address

7434 Louis Pasteur
Ste. 220
San Antonio, TX 78229-4538

Phone

(210) 615-9494

Fax

(210) 615-1514

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 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

Terri Nutt, M.D.

Title

President

Phone

(210) 615-9494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Milton Rahmon Moore, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1871888545
  Medicare reassignment NPD
• Terri J Taylor, MD

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1073564456
  Medicare reassignment NPD
• Raime B. Kalish, M.D.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1285634972
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1326362054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 LOUIS PASTEUR",
            "address_2": "STE. 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294538",
            "telephone_number": "210-615-9494",
            "fax_number": "210-615-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 LOUIS PASTEUR",
            "address_2": "STE. 220",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294538",
            "telephone_number": "210-615-9494",
            "fax_number": "210-615-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO SKIN CARE AND DERMATOLOGY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-615-9494",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Rheumatology Center
• San Antonio RT Associates LLC
• San Antonio SCC LLC (Hidden Cove Health and Rehabilitation)
• San Antonio School for Inquiry & Creativity
• San Antonio Simply Love All People Inc.
• San Antonio Sleep Partners and Associates
• San Antonio SNF Management LLC (San Antonio Residence and Rehabilitation Center)
• San Antonio Specialty Hospital LLC
• San Antonio Specialty Hospital LTD (LifeCare Hospitals of San Antonio)
• San Antonio Spine & Rehabilitation, P.a.

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, 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 24, 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.