Surgical Dermatology Associates

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

41532 Issued in TX

Legal business name

SURGICAL DERMATOLOGY ASSOCIATES

Practice address

4851 S I 35 E
Suite 101
Corinth, TX 76210-2348

Phone

(940) 591-0900

Fax

(940) 220-6444

NPI assigned

Apr 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Beth Perone, M.D.NPI 1508968694

Title

Vice President

Phone

(646) 554-6324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCDBBA

Practitioners 2

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

• Jennifer B Perone, MD

  • MOHS-Micrographic Surgery Physician
  • Corinth, TX
  • NPI 1508968694
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah B Weitzul, MD

  • MOHS-Micrographic Surgery Physician
  • Corinth, TX
  • NPI 1538138029
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1992949564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 S I 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 S I 35 E",
            "address_2": "SUITE 101",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762102348",
            "telephone_number": "940-591-0900",
            "fax_number": "940-220-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "PERONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "646-554-6324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "41532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Michael Sterling, PT, OCS, CSCS
• Geoffrey Carter Stratton, LCSW
• Strong Foundation Physical Therapy
• Suite Dreams Anesthesia & Aesthetic Surgical Consultants
• Caitlin Sullivan, MOT, OTR
• Suzanne Nguyen Thai, DDS, LLP
• Payton Nicole Swanzy, DPT
• Claresta Elisabeth Tasman, DPT
• Kimberly Ann Tauaefa
• TGB Labs LLC

• Procedural Dermatology Physician in Corinth, TX
• Providers in Corinth, 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 Aug 25, 2015; 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.