The Dermatology Spot PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE DERMATOLOGY SPOT PLLC

Practice address

1841 Martin Dr
200
Weatherford, TX 76086

Phone

(817) 609-4114

Fax

(817) 609-4116

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Elaine Miller, DONPI 1265768568

Title

President/MD

Phone

(817) 609-4114

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elaine Kay Miller, D.O.

  • Dermatology Physician
  • Weatherford, TX
  • NPI 1265768568
  Medicare reassignment Care Compare group NPD Authorized official
• Tonya A Khan, P.A.

  • Physician Assistant
  • Weatherford, TX
  • NPI 1619078375
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1689049413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 MARTIN DR STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866379",
            "telephone_number": "817-609-4114",
            "fax_number": "817-609-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 MARTIN DR",
            "address_2": "200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-609-4114",
            "fax_number": "817-609-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY SPOT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "817-609-4114",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Health Care, PLLC
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• Texas Home Health Skilled Services, L.P.
• Texas Orthopaedic Associates, LLP
• Alayna Paige Thames, OTR
• The Uniform Store
• Sandra Thibault, RN
• Thomas C. Binzer M.D.,P.a.
• Brandi Thomas, LMT
• Joseph Thomas, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.