Amanda J Wolthoff, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

539959 Issued in TX

Practice address

6200 Lyndon B Johnson Fwy Ste 110
Dallas, TX 75240-6305

Phone

(817) 846-8502

NPI assigned

Jun 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Internal Medicine

Education

University of Texas Medical School at San Antonio, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awolthoff@intentionalderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amy Wolthoff MD PLLC

  • Dermatology Physician
  • Irving, TX
  • NPI 1497472625
  Medicare reassignment NPD Authorized official
• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment NPD
• Betty Rajan MD PLLC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Fort Worth, TX
  • NPI 1730487836
  Medicare reassignment

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700352000000",
    "number": "1992016869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 LYNDON B JOHNSON FWY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406305",
            "telephone_number": "817-985-7685",
            "fax_number": "833-337-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LYNDON B JOHNSON FWY STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406305",
            "telephone_number": "817-846-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTHOFF",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-11-19",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "539959",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "539959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Woloshuk
• Ann G Wolovits, LPC
• Joshua Seth Wolovits, MD
• Laura E Wolovits, MD
• Austin Wolstein, DO
• Anna Catherine Howard Wolynec, FNP
• Ashley Stone Womack, M.D.
• Ashlyn Womack
• James Robert Womack, PH.D.
• James St. Clair Womack, M.D.

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.