Dermatology Specialists of Fort Worth PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC

Practice address

6131 Southwest Blvd Ste 100
Benbrook, TX 76132-1047

Phone

(817) 989-1221

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Harrell, M.D.NPI 1982976205

Title

MD/President

Phone

(713) 498-3974

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 7

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

• Catherine Harrell, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1982976205
  Medicare reassignment Care Compare group NPD Authorized official
• Robin Aderhold Roberts, M.D.

  • Specialist
  • Benbrook, TX
  • NPI 1679527048
  Medicare reassignment Care Compare group NPD
• Heather D Volkman, D.O.

  • Pediatric Dermatology Physician
  • Fort Worth, TX
  • NPI 1932326253
  Medicare reassignment Care Compare group NPD
• Tatyana O Yetto, M.D.

  • Dermatology Physician
  • Bremerton, WA
  • NPI 1558657031

  TX

  Medicare reassignment Care Compare group NPD
• Michelle Brannan, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1588096028
  Medicare reassignment Care Compare group
• Kimbell Austin Hall, PA-C

  • Physician Assistant
  • Aledo, TX
  • NPI 1659083343
  Medicare reassignment Care Compare group
• Cheryl Lynn Elmore, NP

  • Family Nurse Practitioner
  • Benbrook, TX
  • NPI 1679123285
  Medicare reassignment NPD

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1417434119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761321047",
            "telephone_number": "817-989-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761321047",
            "telephone_number": "817-989-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SPECIALISTS OF FORT WORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "713-498-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Defley, OTR, CHT
• Jada Degrate
• Delea Herber PHD
• Gable Ann Delp
• Davan Mina Dempsey
• Shawna Lee Dewveall, RBT
• Patricia Diaz
• Allison Blair Dietrich
• Makala Rasha Sheila Dillard
• Mbaye S Diop

• Dermatology Physician in Benbrook, TX
• Providers in Benbrook, 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 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.
• 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.