Chappell Rosso Dermatology PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

CHAPPELL ROSSO DERMATOLOGY PA

Practice address

4040 Medical Park Dr
Odessa, TX 79765-2233

Phone

(432) 333-6603

Fax

(432) 333-8014

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ritchie Oliver Rosso Jr., MD

Title

Physician

Phone

(757) 650-6954

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Richard L Mittan, PA-C

  • Physician Assistant
  • Odessa, TX
  • NPI 1215446919
  NPD (past)
• Aisha Dalila White, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Austin, TX
  • NPI 1255589180
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1962625533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MEDICAL PARK DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652233",
            "telephone_number": "432-333-6603",
            "fax_number": "432-333-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MEDICAL PARK DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652233",
            "telephone_number": "432-333-6603",
            "fax_number": "432-333-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPPELL ROSSO DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-650-6954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E2507",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayal Kanni Dhevi Chandramohan, MS, RDN, LD
• Prathmica Chandramohan, DO
• Timothy Ru Chao, MD
• Charlotte Elaine Chapman, MS.CCC.SLP
• Keely Chapman, MD
• Bernard Siu Lai Char, D.D.S.
• Charles a Lively MD PA
• Saima S Chaudhry, MD
• Deepa Chaudhury, DDS
• Alfredo Chavez Morales

• Procedural Dermatology Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Procedural Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.