NPIMap

Organization Active NPI

Bay Area Dermatology Associates

  • Dermatology Physician
  • Webster, TX
National Provider Identifier
1891765590
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BAY AREA DERMATOLOGY ASSOCIATES
Practice address
12 Professional Park Dr
Webster, TX 77598-4127
Phone
(281) 332-8571
Fax
(281) 332-8307
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Terry Earl Williams, M.D.NPI 1376545293
Title
Owner Physician
Phone
(281) 332-8571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

12 Professional Park Dr
Webster, TX 77598-4127

Mailing address

12 Professional Park Dr
Webster, TX 77598-4127
Phone (281) 332-8571

Other identifiers 2

IdentifierTypeStateIssuer
081DEOtherTXBCBS OF TEXAS
CK2746OtherMEDICARE RR

National Provider Directory

National Provider Directory

Locations

12 Professional Park Dr
Webster, TX 77598
Phone (281) 332-8571

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1891765590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "281-332-8571",
            "fax_number": "281-332-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "281-332-8571",
            "fax_number": "281-332-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "281-332-8571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "081DE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CK2746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.