Dermatologic Surgery Center of Houston, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMATOLOGIC SURGERY CENTER OF HOUSTON, P.A.

Practice address

7737 Southwest Freeway
Suite 930
Houston, TX 77074-1818

Phone

(713) 981-6222

Fax

(713) 981-6266

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Bruce Nelson, M.D.NPI 1740377621

Title

President

Phone

(713) 981-6222

Specialties & licenses 1

Addresses

Other identifiers 1

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 2

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

• Bruce R. Nelson, M.D.

  • MOHS-Micrographic Surgery Physician
  • Houston, TX
  • NPI 1740377621
  Medicare reassignment NPD Authorized official
• Scott Cohen, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Houston, TX
  • NPI 1578728192
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1437246386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FREEWAY",
            "address_2": "SUITE 930",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741818",
            "telephone_number": "713-981-6222",
            "fax_number": "713-981-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FREEWAY",
            "address_2": "SUITE 930",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741818",
            "telephone_number": "713-981-6222",
            "fax_number": "713-981-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIC SURGERY CENTER OF HOUSTON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-981-6222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1438970-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Derijke, BCBA
• Laura Kathleen Derkacz
• Thomas V Derksen, NP
• Dermagenix LLC
• Howard Steven Derman, M.D.
• Dermatological Association of Texas, PLLC
• Dermatology & Cosmetic Surgery Associates PA
• Dermatology Associates
• Dermatology Associates of Texas PLLC
• Dermatology Management Services PLLC

• MOHS-Micrographic Surgery Physician in Houston, TX
• Providers in Houston, 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 Jun 3, 2016; 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.