Simone Stalling MD PHD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SIMONE STALLING MD PHD PLLC

Doing business as

Aviva Dermatology

Practice address

915 Gessner Rd Ste 500
Houston, TX 77024-2568

Phone

(713) 468-0303

Fax

(713) 468-0307

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Simone Suzette Stalling, MD, PHDNPI 1922310911

Title

Manager

Phone

(713) 468-0303

Specialties & licenses 1

Addresses

Other names 1

• Aviva Dermatology Doing business as

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 5

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

• Simone Stalling, MD

  • Dermatology Physician
  • Houston, TX
  • NPI 1922310911
  Medicare reassignment Care Compare group NPD Authorized official
• Rosannah Marie Velasquez, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1700203676
  Medicare reassignment Care Compare group NPD
• Mareah Bernadette Lucio, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1255070322
  Medicare reassignment
• Angela Maria Davis, MD

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1487672754
  NPD
• Terraneisha Croffitt, PA-C

  • Physician Assistant
  • Pearland, TX
  • NPI 1932608304
  NPD (past)

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1730668567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242568",
            "telephone_number": "713-468-0303",
            "fax_number": "713-468-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE STALLING MD PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "STALLING",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-468-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Allen Simon, PA-C
• Terry L Simon, M.D.
• Todd A Simon, P.T.
• Xavier Kennedy Simon, LPC
• Simone Ball (Preferred Plus Medical Supply)
• Alexander B Simonetta, M.D.
• Jean Simonich, PA-C
• George R. Simons Jr., D.O.
• Jennifer Simons
• Taylor Simons

• 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 Jan 4, 2023; 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.