The Dermatology Clinic, P a

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

THE DERMATOLOGY CLINIC, P A

Practice address

835 N Hillside St
Wichita, KS 67214-4913

Phone

(316) 685-4395

Fax

(316) 685-1149

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martha Selfridge Housholder, M.D.NPI 1508848144

Title

President

Phone

(316) 685-4395

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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

• Martha S Housholder, M.D.

  • Dermatopathology Physician
  • Wichita, KS
  • NPI 1508848144

  Dermatopathology, KS

  Medicare reassignment Care Compare group NPD Authorized official
• Stanley L Capper, MD

  • Dermatology Physician
  • Wichita, KS
  • NPI 1710915210

  KS

  Medicare reassignment Care Compare group NPD
• Jesi Lyn Reichenberger, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1710868492

  KS

  Medicare reassignment Care Compare group NPD
• Krista E. Shackelford, M.D.

  • Dermatology Physician
  • Wichita, KS
  • NPI 1922038801

  KS

  Medicare reassignment Care Compare group NPD
• Anne Louise Housholder, MD

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1518100718

  KS

  Medicare reassignment Care Compare group NPD
• Kaitlyn M Guimond, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1861933145

  KS

  Medicare reassignment
• Sung Un E Hall, PA

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1003925272

  KS

  Medicare reassignment
• Megan Christine Holick, PA

  • Physician Assistant
  • Wichita, KS
  • NPI 1346754199

  KS

  Medicare reassignment
• Jason Kruse, PA-C

  • Physician Assistant
  • Kinsley, KS
  • NPI 1295815330

  KS

  Medicare reassignment
• Rachel Skulkety Merritt, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1124594999

  KS

  Medicare reassignment
• Kylie Kristine Witham, PA-C

  • Physician Assistant
  • Wichita, KS
  • NPI 1316019458

  KS

  Medicare reassignment
• Stephen Marshall, MD

  • Dermatology Physician
  • Hutchinson, KS
  • NPI 1609847243
  Care Compare group

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1932168317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-4395",
            "fax_number": "316-685-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144913",
            "telephone_number": "316-685-4395",
            "fax_number": "316-685-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY CLINIC, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "HOUSHOLDER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "SELFRIDGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-685-4395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100087770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatopathology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Dermatopathology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.