Wesley Chapel Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WESLEY CHAPEL DERMATOLOGY LLC

Practice address

2336 Crestover LN Ste 101
Wesley Chapel, FL 33544-6794

Phone

(813) 606-4144

Fax

(813) 666-1508

NPI assigned

Mar 9, 2015

Last updated

May 22, 2023By 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

Sujatha Tadicherla, MDNPI 1700035433

Title

Partner

Phone

(813) 666-0488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14015/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Sujatha Tadicherla, MD

  • Dermatology Physician
  • Wesley Chapel, FL
  • NPI 1700035433
  Medicare reassignment NPD Authorized official
• Lina O Aleksandrov, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1588259733
  Medicare reassignment NPD

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1407249998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446794",
            "telephone_number": "813-606-4144",
            "fax_number": "813-666-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446794",
            "telephone_number": "813-606-4144",
            "fax_number": "813-666-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY CHAPEL DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "TADICHERLA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "813-666-0488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Lynn Wells
• Brian Wells, DMD
• Gary Don Wendell, D.D.S.
• Wesley Chapel Counseling
• Wesley Chapel Dental Care, PLLC
• Wesley Chapel Dialysis, LLC (Wesley Chapel Dialysis)
• Wesley Chapel DME LLC
• Wesley Chapel Family Dental, P.a.
• Wesley Chapel Internal Medicine and Pediatrics, PA
• Wesley Chapel Medical Care

• Dermatology Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.