Westgate Skin & Cancer, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P7024 Issued in TX

Legal business name

WESTGATE SKIN & CANCER, PLLC

Doing business as

Westgate Skin & Cancer

Practice address

2559 Western Trails Blvd
Suite 301
Austin, TX 78745-1565

Phone

(512) 815-2559

Fax

(888) 419-8625

NPI assigned

Mar 31, 2014

Last updated

Mar 31, 2014By 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

Dr. Blakely S. Richardson, D.O.NPI 1659697431

Title

Physician-Onwner

Phone

(214) 499-1036

Specialties & licenses 1

Addresses

Other names 1

• Westgate Skin & Cancer Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Blakely S Richardson, D.O.

  • Dermatology Physician
  • Austin, TX
  • NPI 1659697431
  Medicare reassignment Care Compare group NPD Authorized official
• Elaine Otchere, MD

  • MOHS-Micrographic Surgery Physician
  • Sugar Land, TX
  • NPI 1073172433

  Dermatology

  Medicare reassignment Care Compare group NPD
• Sital Patel, DO

  • Dermatology Physician
  • Austin, TX
  • NPI 1285945816
  Medicare reassignment Care Compare group NPD
• Yvonne Marie Mounkhoune, BSN, RN, MA

  • Registered Nurse
  • Austin, TX
  • NPI 1003141144
  NPD
• Lindsay F Weber, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1861475998
  NPD
• Vanessa T Yawn, PA-C

  • Physician Assistant
  • Austin, TX
  • NPI 1225389133
  NPD

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1770901589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 WESTERN TRAILS BLVD",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451565",
            "telephone_number": "512-815-2559",
            "fax_number": "888-419-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WESTERN TRAILS BLVD",
            "address_2": "SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451565",
            "telephone_number": "512-815-2559",
            "fax_number": "888-419-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE SKIN & CANCER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BLAKELY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN-ONWNER",
        "authorized_official_telephone_number": "214-499-1036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P7024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Skin & Cancer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Elisabeth Westermann
• Western Blessed LLC (Western Blessed)
• Western Care, Inc (Amada Senior Care Austin)
• John David Westfall, M.D.
• Westgate Dental Austin PLLC
• Sara Westgate, M.D., PH.D.
• Joshua Mark Westheimer, PHD
• Lauren Westin, PNP-AC/PC
• Westlake Anesthesia Group PA
• Westlake Anesthesia Group PA

• Dermatology Physician in Austin, TX
• Providers in Austin, 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 31, 2014; 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.