Cameran Nguyen, D.O.
Individual provider Active NPI Dermatopathology (Pathology) Physician · Willow Park, TX
NPI 1639312697 · NPPES record last updated Dec 31, 2023
Key facts
- NPI
- 1639312697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatopathology (Pathology) Physician 207ZD0900X
- License
- R3924 (TX)
- Practice address
- 211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309 - Phone
- (817) 482-0000
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
211 Crown Pointe Blvd
Suite 300
Willow Park, TX 76087-1309
Phone (817) 482-0000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 23 |
| Skin biopsy | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723001591 | TX | Practitioner - Dermatology |
6002031267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO82995 | SC | MD | Dermatopathology (Pathology) Physician |
| R3924 | TX | MD | Dermatopathology (Pathology) Physician |
| 14041 | CA | MD | Occupational Therapist |
| 5304 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Skin Health, PLLC | Dermatopathology | Current |
Accepting new patients |
Locations
211 Crown Pointe Blvd
Ste 300
Willow Park, TX 76087
Phone (817) 482-0000
Interoperability endpoints
- cnguyen@aspireskin.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R3924 | TX | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | DO82995 | SC | |
| Hematology (Pathology) Physician | 207ZH0000X | DO.1421 | AL | |
| Molecular Genetic Pathology (Pathology) Physician | 207ZP0007X | 5304 | OK | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | R3924 | TX | Yes |
Addresses
Primary practice location
211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309
Mailing address
211 Crown Pointe Blvd Ste 300
Willow Park, TX 76087-1309
Phone (817) 482-0000
Other providers in Willow Park, TX
- Nak Tricities Family Medicine, PLLC
- Mary Ann Nelson
- Hannah Netherland
- Megan Nettles-Salinas
- Elizabeth A Neumann
- North Star MCD, LLC
- North Star MCD, LLC
- Taylor Elizabeth Ochsner
- Jenna Pack
- Jillian Pappas
All providers in Willow Park, TX · Dermatopathology (Pathology) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.