Organization Active NPI

Farmer Dermatology, PLLC

  • Dermatology Physician
  • The Woodlands, TX
National Provider Identifier
1861791162
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L3639 Issued in TX
Legal business name
FARMER DERMATOLOGY, PLLC
Practice address
10077 Grogans Mill Rd
Suite 460
The Woodlands, TX 77380-1000
Phone
(281) 465-3600
Fax
(281) 465-3608
NPI assigned
Mar 25, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Amy Farmer, M.D.NPI 1588750871
Title
Manager
Phone
(281) 465-3600

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 L3639 TX Primary

Addresses

Primary practice location

10077 Grogans Mill Rd
Suite 460
The Woodlands, TX 77380-1000

Mailing address

10077 Grogans Mill Rd
Suite 460
The Woodlands, TX 77380-1000
Phone (281) 465-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110622000069 TX Part B Supplier - Clinic/Group Practice 0749468742 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Locations

10077 Grogans Mill Rd
Ste 460
The Woodlands, TX 77380
Phone (281) 292-1605

Practitioners & affiliated clinicians

Practitioners 2

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": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1861791162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 GROGANS MILL RD",
            "address_2": "SUITE 460",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801000",
            "telephone_number": "281-465-3600",
            "fax_number": "281-465-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10077 GROGANS MILL RD",
            "address_2": "SUITE 460",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801000",
            "telephone_number": "281-465-3600",
            "fax_number": "281-465-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMER DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-465-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.