Organization Active NPI

Dermatology & Skin Cancer Care

  • Hematology & Oncology Physician
  • Sugar Land, TX
National Provider Identifier
1558513325
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
H5109 Issued in TX
Legal business name
DERMATOLOGY & SKIN CANCER CARE
Practice address
14885 Southwest Fwy
Ste A101
Sugar Land, TX 77478-5016
Phone
(281) 277-0430
Fax
(281) 277-0491
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Owen B Ellington, MDNPI 1396703310
Title
President
Phone
(281) 277-0430

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
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X H5109 TX Primary

Addresses

Primary practice location

14885 Southwest Fwy
Ste A101
Sugar Land, TX 77478-5016

Mailing address

14885 Southwest Fwy
Ste A101
Sugar Land, TX 77478-5016
Phone (281) 277-0430

National Provider Directory

National Provider Directory

Locations

14885 Southwest Fwy
Ste A101
Sugar Land, TX 77478
Phone (281) 277-0430

Practitioners & affiliated clinicians

Practitioners 1

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": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1558513325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14885 SOUTHWEST FWY",
            "address_2": "STE A101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-277-0430",
            "fax_number": "281-277-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14885 SOUTHWEST FWY",
            "address_2": "STE A101",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-277-0430",
            "fax_number": "281-277-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN CANCER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "ELLINGTON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-277-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "H5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.