Warthan Dermatology Associates, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L5949 Issued in TX

Legal business name

WARTHAN DERMATOLOGY ASSOCIATES, P.A.

Practice address

12255 University Dr Ste 150
Frisco, TX 75035-9489

Phone

(972) 542-4646

Fax

(972) 542-0909

NPI assigned

Sep 25, 2009

Organization subpart

No

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

Authorized official

Name

Mandy Lynn Warthan, MDNPI 1982737102

Title

Provider

Phone

(972) 542-4646

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Mandy Lynn Warthan, M.D.

  • Dermatology Physician
  • Frisco, TX
  • NPI 1982737102
  Medicare reassignment NPD Authorized official
• Amelia Eileen Bush Hoelscher, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1154785756
  Medicare reassignment NPD
• Yasmin Amir, MD

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1740712363

  Single Specialty, TX

  Medicare reassignment NPD
• Jazmin Adi

  • Physician Assistant
  • Frisco, TX
  • NPI 1912758400
  NPD
• Leslie Jurado, PA-C

  • Medical Physician Assistant
  • Austin, TX
  • NPI 1356023428
  NPD
• Audrey Leigh Pilkington, PA-C

  • Physician Assistant
  • Rockwall, TX
  • NPI 1124720107
  NPD

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1326372137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 UNIVERSITY DR STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359489",
            "telephone_number": "972-542-4646",
            "fax_number": "972-542-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 UNIVERSITY DR STE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359489",
            "telephone_number": "972-542-4646",
            "fax_number": "972-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTHAN DERMATOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "WARTHAN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "972-542-4646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L5949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarett Ware, DC
• Warren Medical Imaging, LLC
• Amber Warren
• Courtney Nicole Warren, PT, DPT
• Trinity Warren
• Mandy Lynn Warthan, M.D.
• Diamond Washington
• Molly Pelekamoyo Washington
• Waterfront Family Dentistry PLLC (Chase Oaks Family Dentistry)
• Lakisha Waters

• Dermatology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.