NPIMap

Organization Active NPI

Byrkerwood Skin and Vein Center, P.a.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1659646180
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BYRKERWOOD SKIN AND VEIN CENTER, P.A.
Practice address
1600 W 38TH St
Suite 315
Austin, TX 78731-6400
Phone
(512) 302-1529
NPI assigned
Mar 16, 2012
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Ms. Jaculeen Dano, MDNPI 1619005840
Title
President
Phone
(512) 302-4047

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
Dermatology Physician 207N00000X TX Primary

Addresses

Primary practice location

1600 W 38TH St
Suite 315
Austin, TX 78731-6400

Mailing address

1600 W 38TH St
Suite 315
Austin, TX 78731-6400
Phone (512) 302-1529

National Provider Directory

National Provider Directory
Tax ID family
Brykerwood Skin and Vein Center 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1659646180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-302-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST",
            "address_2": "SUITE 315",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316400",
            "telephone_number": "512-302-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRKERWOOD SKIN AND VEIN CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DANO",
        "authorized_official_first_name": "JACULEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-302-4047",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.