Keith E Schulze MD PA

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

H7651 Issued in TX

Legal business name

KEITH E SCHULZE MD PA

Doing business as

Fort Bend Skin Cancer Center

Practice address

15400 Southwest Fwy
Suite 150
Sugar Land, TX 77478-3875

Phone

(281) 980-6647

Fax

(281) 980-6650

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Keith E. Schulze, M.D.NPI 1174612162

Title

President

Phone

(281) 980-6647

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Bend Skin Cancer Center Doing business as

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.

• Keith E Schulze, M.D.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1174612162

  Mohs-Micrographic Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1417088006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-980-6647",
            "fax_number": "281-980-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY",
            "address_2": "SUITE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783875",
            "telephone_number": "281-980-6647",
            "fax_number": "281-980-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH E SCHULZE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHULZE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-980-6647",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H7651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "45D1060428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Bend Skin Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodora Alice Kawszan, NURSE PRACTITIONER
• Sofia Hussaini Kayamali, DO
• Amber R Kazi, MD
• Liyen Lin Keen, D.D.S.
• Tameka Earnestine Kegler
• Demetric Keizer
• Manasi S. Kekan, M.D.
• Amberlyn Keller, M.ED, LPC
• Vierra Keller
• John P. Kelley, MD

• MOHS-Micrographic Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• MOHS-Micrographic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.