Organization Active NPI

Chernosky Dermatological Associates, P.a.

  • Specialist
  • Houston, TX
National Provider Identifier
1841616141
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H0248 Issued in TX
Legal business name
CHERNOSKY DERMATOLOGICAL ASSOCIATES, P.A.
Practice address
4646 Wild Indigo St
Ste 100
Houston, TX 77027-7718
Phone
(713) 790-9270
Fax
(713) 790-9270
NPI assigned
Mar 11, 2014
Organization subpart
Yes
Parent organization
DEBRA L. CHERNOSKYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Debra Chernosky, M.D.NPI 1770583494
Title
Owner
Phone
(713) 790-9270

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H0248 TX Primary

Addresses

Primary practice location

4646 Wild Indigo St
Ste 100
Houston, TX 77027-7718

Mailing address

4646 Wild Indigo St
Ste 100
Houston, TX 77027-7188
Phone (713) 790-9270

National Provider Directory

National Provider Directory
Part of
Chernosky Dermatological

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1841616141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 WILD INDIGO ST",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277188",
            "telephone_number": "713-790-9270",
            "fax_number": "713-790-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 WILD INDIGO ST",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277718",
            "telephone_number": "713-790-9270",
            "fax_number": "713-790-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNOSKY DERMATOLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEBRA L. CHERNOSKY",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CHERNOSKY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-790-9270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H0248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.