Wellworx Dermatology PLLC
NPI 1164244703ActiveOrganization· Dermatology· Frisco, TX
Dermatology in Frisco, Texas, registered in NPPES in October 2024. The authorized official on file is Ryan Pham, DO, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164244703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2024 |
| Last updated in NPPES | Nov 7, 2024 |
| Certified by provider | Nov 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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