Evolve Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EVOLVE DERMATOLOGY PLLC

Practice address

2000 Dallas Pkwy Ste 200
Plano, TX 75093-4312

Phone

(949) 713-3998

Fax

(949) 220-1026

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Joan Fernandez, MDNPI 1417512815

Title

Authorized Official

Phone

(903) 360-8633

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 3

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

• Joan Kathryn Fernandez, MD

  • Dermatology Physician
  • Plano, TX
  • NPI 1417512815
  Medicare reassignment Care Compare group NPD Authorized official
• Madeline Ryan Conlon, MD

  • Dermatology Physician
  • Plano, TX
  • NPI 1588247860
  Medicare reassignment Care Compare group NPD
• Trissa McClatchey Connors, MD

  • Dermatology Physician
  • Katy, TX
  • NPI 1568968634
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1780441931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934312",
            "telephone_number": "214-550-4890",
            "fax_number": "214-550-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934312",
            "telephone_number": "949-713-3998",
            "fax_number": "949-220-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "903-360-8633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Plano, TX
• Providers in Plano, 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 10, 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.