NPIMap

Organization Active NPI

Enos Dermatopathology PLLC

  • Dermatopathology Physician
  • Amarillo, TX
National Provider Identifier
1538813696
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
Legal business name
ENOS DERMATOPATHOLOGY PLLC
Practice address
4302 Wolflin Ave
Amarillo, TX 79106-5959
Phone
(806) 355-9866
NPI assigned
Feb 8, 2022
Last updated
May 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Tyler Enos, MDNPI 1467988352
Title
President
Phone
(806) 290-2208

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X Primary

Addresses

Primary practice location

4302 Wolflin Ave
Amarillo, TX 79106-5959

Mailing address

4302 Wolflin Ave Ste 200
Amarillo, TX 79106-5959

National Provider Directory

National Provider Directory

Locations

4302 Wolflin Ave
Amarillo, TX 79106
Phone (806) 355-9866

4302 Wolflin Ave
Ste B
Amarillo, TX 79106
Phone (806) 355-9866

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1538813696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791065959",
            "telephone_number": "806-355-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENOS DERMATOPATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ENOS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-290-2208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.