West Texas Dermatology and Skin Cancer Center PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC

Practice address

3162 Appaloosa Cir
San Angelo, TX 76901-5225

Phone

(325) 224-5981

Fax

(325) 224-5986

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Mark Adam Ramirez, MDNPI 1639373210

Title

President

Phone

(325) 224-5981

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00323

Practitioners 1

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

• Mark Adam Ramirez, MD

  • Dermatology Physician
  • San Angelo, TX
  • NPI 1639373210
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1942620554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62701",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769062701",
            "telephone_number": "325-224-5981",
            "fax_number": "325-224-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 APPALOOSA CIR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015225",
            "telephone_number": "325-224-5981",
            "fax_number": "325-224-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS DERMATOLOGY AND SKIN CANCER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-224-5981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Denise Weise, EDD
• West Loop Medical Clinic Inc
• West Texas Child Development Center
• West Texas Counseling & Guidance Inc
• West Texas Counselling and Rehabilitation Program of San Angelo, Inc.
• West Texas E.a.R.S,
• West Texas Healthcare LLC
• West Texas LTC Partners, Inc.
• West Texas Medical Associates
• West Texas Medical Associates

• Dermatology Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.