Humble Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HUMBLE DERMATOLOGY PLLC

Practice address

18980 North Memorial Drive
Ste. 200
Humble, TX 77338

Phone

(281) 707-6400

Fax

(281) 584-6432

NPI assigned

May 23, 2018

Last updated

Mar 23, 2021By 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

Prince EgesiNPI 1447856406

Title

Practice Manager

Phone

(281) 707-6400

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: aegesi@humblederm.ezderm.info
• FHIR API: https://app.meldrx.com/api/fhir/ez_00154

Practitioners 6

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.

• Adaeze Egesi, M.D.

  • Dermatology Physician
  • Humble, TX
  • NPI 1982929006
  Medicare reassignment Care Compare group NPD
• Maureen Ezekor, MD

  • Dermatology Physician
  • Pearland, TX
  • NPI 1689203192
  Medicare reassignment Care Compare group NPD
• Hayden Orgeron, FNP-C

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1457960759
  Medicare reassignment NPD
• Prince Egesi, PHARMD

  • Pharmacist
  • Humble, TX
  • NPI 1447856406
  NPD Authorized official
• Shayla Arceneaux

  • Physician Assistant
  • Houston, TX
  • NPI 1326464207
  Medicare reassignment
• Violette Alsaka, DNP, FNP-C

  • Nurse Practitioner
  • Humble, TX
  • NPI 1225888654
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1679064968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 NORTH MEMORIAL DRIVE",
            "address_2": "STE. 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-707-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 NORTH MEMORIAL DRIVE",
            "address_2": "STE. 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-707-6400",
            "fax_number": "281-584-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "EGESI",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "281-707-6400"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aegesi@humblederm.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18980 N Memorial Dr Ste 200",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773384216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Humble Back Clinic
• Humble Cardiac and Endovascular
• Humble Cardio and Endovascular
• Humble Cardiovascular Center, PA
• Humble Dental Arts, PLLC
• Humble Dialysis, LP
• Humble Emergency Physicains Professional Association
• Humble ENT and Facial Plastics, LLP
• Humble ER & Hospital LLC (Bayou City ER & Hospital)
• Humble Facilities & Hospital, LLC

• Dermatology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.