NPIMap

Organization Active NPI

Lauren S Campbell MD PA

Doing business as Cypress Dermatology

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1790227221
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N6207 Issued in TX
Legal business name
LAUREN S CAMPBELL MD PA
Doing business as
Cypress Dermatology
Practice address
310 Paul Revere Dr
Houston, TX 77024-6111
Phone
(713) 505-5324
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Lauren Suzanne Campbell, M.D.NPI 1447406400
Title
President, Physician
Phone
(832) 455-9822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X N6207 TX Primary

Addresses

Primary practice location

310 Paul Revere Dr
Houston, TX 77024-6111

Mailing address

27700 Northwest Freeway
Suite 490
Cypress, TX 77433-6766
Phone (281) 895-3376

Other names 1

  • Cypress Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170417001486 TX Part B Supplier - Clinic/Group Practice 0244514248 Receives reassigned benefits from 5 practitioners
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory
Tax ID family
Cypress Dermatology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14930 Mueschke Rd
Ste 200
Cypress, TX 77433
Phone (281) 895-3376

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1790227221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 NORTHWEST FREEWAY",
            "address_2": "SUITE 490",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336766",
            "telephone_number": "281-895-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PAUL REVERE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246111",
            "telephone_number": "713-505-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN S CAMPBELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "832-455-9822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N6207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.