Active NPI
Dermsouth, PA
- Dermatology Physician
- Pearland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMSOUTH, PA
- Practice address
- 10970 Shadow Creek Pkwy
Suite 340
Pearland, TX 77584-0100 - Phone
- (713) 791-9966
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Harry Goldberg, M.D.
- Title
- M.D.
- Phone
- (713) 791-9966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
10970 Shadow Creek Pkwy
Suite 340
Pearland, TX 77584-0100
Mailing address
6700 West Loop South
Suite #500
Bellaire, TX 77401
Phone (713) 791-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2097373 | Dermsouth PA | Compliance | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
6700 West Loop S
Bellaire, TX 77401
Phone (713) 662-9729
6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966
7515 Main St
Ste 240
Houston, TX 77030
Phone (713) 791-9966
7500 Beechnut St
Ste 290
Houston, TX 77074
Phone (713) 790-7800
19701 Kingwood Dr
Ste 9
Kingwood, TX 77339
Phone (281) 548-3555
10970 Shadow Creek Pkwy
Ste 340
Pearland, TX 77584
Phone (713) 340-0030
17183 I 45 S
Ste 510
Shenandoah, TX 77385
Phone (713) 791-1453
1415 Highway 6
Ste C400
Sugar Land, TX 77478
Phone (281) 491-9278
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Bellaire, TX
- NPI 1023001708
Dermatology
-
- Physician Assistant
- Houston, TX
- NPI 1659619195
-
- Dermatology Physician
- Dallas, TX
- NPI 1437593274
-
- Physician Assistant
- Houston, TX
- NPI 1548455280
-
- Dermatology Physician
- Pearland, TX
- NPI 1245853761
-
- Dermatology Physician
- El Campo, TX
- NPI 1083109532
-
- Dermatology Physician
- Houston, TX
- NPI 1558532630
-
- Physician Assistant
- El Campo, TX
- NPI 1003076704
-
- Clinical & Laboratory Dermatological Immunology Physician
- Houston, TX
- NPI 1699938563
-
- Procedural Dermatology Physician
- Victoria, TX
- NPI 1598254104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1386842417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WEST LOOP SOUTH",
"address_2": "SUITE #500",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "77401",
"telephone_number": "713-791-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10970 SHADOW CREEK PKWY",
"address_2": "SUITE 340",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775840100",
"telephone_number": "713-791-9966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMSOUTH, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-10",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "HARRY",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "713-791-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.