St. Joseph Dermatopathology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E8980 Issued in TX

Legal business name

ST. JOSEPH DERMATOPATHOLOGY, P.A.

Practice address

6909 Greenbriar St
Houston, TX 77030-3205

Phone

(713) 660-9444

Fax

(713) 660-9466

NPI assigned

Oct 17, 2006

Last updated

May 11, 2009By 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

Jaime Antonio Tschen, M.D.NPI 1164527800

Title

Director

Phone

(713) 660-9444

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St. Joseph Dermatopathology, P.a.

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1770688483

  8527972017

  Same PAC ID

Tax ID family

St Joseph Dermatopathology2 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.

• St. Joseph Dermatopathology, P.a.

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1770688483
  NPD tax ID

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.

• Jaime Antonio Tschen, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1164527800
  Medicare reassignment Care Compare group NPD Authorized official
• Annette Harris, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1003979899
  Medicare reassignment Care Compare group NPD
• Andrew Decrescenzo, MD

  • Dermatology Physician
  • The Woodlands, TX
  • NPI 1003342833
  Medicare reassignment NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1679653125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 GREENBRIAR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303205",
            "telephone_number": "713-660-9444",
            "fax_number": "713-660-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 GREENBRIAR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303205",
            "telephone_number": "713-660-9444",
            "fax_number": "713-660-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH DERMATOPATHOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "TSCHEN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-660-9444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E8980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D0858722",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164670501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00000055LC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000CL8261",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00061050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. John's Specialty Care, LLC
• St. Johns
• St. Johns Family Medicine Clinic
• St. Johns Family Medicine Clinic, LLC
• St. Johns Physician Associates, P.a.
• St. Joseph Dermatopathology, P.a.
• St. Joseph Diagnostic Clinic, Inc.
• St. Joseph Prof. Pharmacy, Inc.
• St. Joseph's Ambulance Service, Inc.
• St. Jude Dental P.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.