M. Basem Chaker, M.D. P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H9018 Issued in TX

Legal business name

M. BASEM CHAKER, M.D. P.A.

Doing business as

Dermatology Southwest

Practice address

12001 South Fwy
Suite 205
Burleson, TX 76028-7208

Phone

(817) 568-0500

Fax

(817) 568-0501

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Basem Chaker, M.D.NPI 1417054719

Title

Director/Physician

Phone

(817) 568-0500

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Southwest Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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

• Mohammed Basem Chaker, M.D.

  • Dermatology Physician
  • Burleson, TX
  • NPI 1417054719
  Medicare reassignment Care Compare group NPD Authorized official
• Bailey Pendergraft

  • Physician Assistant
  • Burleson, TX
  • NPI 1376251470
  Medicare reassignment Care Compare group
• Joe Louis Toscano, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1477868842
  Medicare reassignment
• Kenda Chaker, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1467283945
  Care Compare group

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1700069267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY",
            "address_2": "SUITE 205",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287208",
            "telephone_number": "817-568-0500",
            "fax_number": "817-568-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY",
            "address_2": "SUITE 205",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287208",
            "telephone_number": "817-568-0500",
            "fax_number": "817-568-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. BASEM CHAKER, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "CHAKER",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "BASEM",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "817-568-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Southwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Lozano
• Jose Javier Lozano, D.O., M.S,
• Holli Mae Lueg, PA-C
• Lux Eyewear for Less
• M Brandon Pettke DC PA (HealthSource Chiropractic & Progressive Rehab)
• M. Basem Chaker, M.D. P.a. (Dermatology Southwest)
• Vandana Maddali, M.D
• Janice Magetto
• Eddie L Mahan, LPC
• Sophia Mahaney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.