Key Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P8959 Issued in TX

Legal business name

KEY DERMATOLOGY PLLC

Practice address

4949 Golden Triangle Blvd Ste 611
Fort Worth, TX 76244-4456

Phone

(817) 898-2188

Fax

(817) 439-6055

NPI assigned

Apr 16, 2018

Last updated

Aug 26, 2024By 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

Julie Nguyen, MDNPI 1548581564

Title

Owner

Phone

(817) 898-2188

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 3

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.

• Julie Nguyen, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1548581564
  Medicare reassignment Care Compare group NPD Authorized official
• Sayeeda Ahsanuddin, MD

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1154857159
  Medicare reassignment Care Compare group NPD
• Caroline Zhu

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1184373292
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1629565544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92424",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 GOLDEN TRIANGLE BLVD STE 611",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444456",
            "telephone_number": "817-898-2188",
            "fax_number": "817-439-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-898-2188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P8959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manoj A Ketkar, MD
• Kassidy Ketron, LMSW
• Lauren Kendall Kettenhofen, DC
• Megan Kevil, DO
• Kevin D. Rhodes, DPM
• Alexandria N Key, MSN, APRN, CPNP-PC
• Kia Key
• Vickye Rose Key, LCDC
• Steve Keys
• Keystone Counseling PLLC

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.