J. Woodson Dermatology & Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7014 Issued in NV

Legal business name

J. WOODSON DERMATOLOGY & ASSOCIATES

Practice address

229 N Pecos Rd Ste 100
Henderson, NV 89074-7364

Phone

(702) 433-1356

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By 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

Johnnie Maurice Woodson Jr., M.D.

Title

President

Phone

(702) 682-2434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Laura Sherrod Haynie, M.D.

  • Dermatology Physician
  • Shreveport, LA
  • NPI 1679517148
  NPD (past)

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1891048104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-433-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N PECOS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747364",
            "telephone_number": "702-433-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WOODSON DERMATOLOGY & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-682-2434",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NV",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Janene Izatt, PT
• Stephanie Izquierdo, LCSW
• J C Raroque MD LLC
• J Davidson MD
• J. Lim Behavioral Consulting
• James Jabile, MD
• Alec Jacinto
• Jack Nguyen, DDS, PLLC
• Lovely Jack, RN
• Brandi Jacks

• Dermatology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Dermatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.