Patagonia Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PATAGONIA DERMATOLOGY PLLC

Practice address

1400 N Coit Rd Ste 501
McKinney, TX 75071-6657

Phone

(214) 556-1222

Fax

(214) 556-2923

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Lucas Cavallin, MD, PHDNPI 1427412055

Title

President

Phone

(214) 556-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Lucas Edgardo Cavallin, MD, PHD

  • Dermatology Physician
  • McKinney, TX
  • NPI 1427412055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1366199952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716657",
            "telephone_number": "214-556-1222",
            "fax_number": "214-556-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 501",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716657",
            "telephone_number": "214-556-1222",
            "fax_number": "214-556-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATAGONIA DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "CAVALLIN",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-556-1222",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devalben Kuldeepsinh Parmar, D.D.S.
• Tiffany Marie Parr, OTR
• Seth Michael Parrott, LCSW
• Pars Pharmacy LLC
• Kayli Elizabeth Self Pask, MS, CCC-SLP
• Patel Transitions MHT LLC
• Aarzoo Kalpesh Patel, DPT
• Arisha Patel, MD, MBA
• Chirag Patel
• Dhara Patel, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.