Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DANIEL J LADD JR DO PA DBA AUSTIN CENTER FOR SKIN HEALTH AND REJUVENAT

Practice address

2 Saint Marks PL
#110
La Grange, TX 78945-1251

Phone

(512) 451-0139

Fax

(512) 323-5880

NPI assigned

Dec 12, 2008

Last updated

Jul 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Joseph Ladd Jr., D.O.NPI 1477556256

Title

Physician

Phone

(512) 451-0139

Specialties & licenses 2

Addresses

Tax ID family

Daniel J Ladd DO PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat

  • Dermatology Physician
  • Bastrop, TX
  • NPI 1831334291
  NPD tax ID

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.

• Daniel Joseph Ladd Jr., DO

  • Procedural Dermatology Physician
  • Austin, TX
  • NPI 1477556256
  NPD (past) Authorized official

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1609011154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST",
            "address_2": "#200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316224",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL",
            "address_2": "#110",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451251",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J LADD JR DO PA DBA AUSTIN CENTER FOR SKIN HEALTH AND REJUVENAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "512-451-0139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbus Optical Company, LTD.
• Compassionate Providers of Texas
• Robert Compian, P.T.A.
• Lisa Faye Cummings, PHARMD
• Daniel a White PA (General and Laparoendoscopic Surgeons of Central Texas)
• Deborah a Thomas OD, & Assocs
• Cody Blake Doyle, D.C.
• E T Baker Anesthesia Service PC
• Richard E. Edeen, M.D.
• Heidi Susanna Ehler, PTA

• Dermatology Physician in La Grange, TX
• Providers in La Grange, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.