Ladera Park Dermatology PA
NPI 1225567704ActiveOrganization· Dermatology· Austin, TX
Dermatology in Austin, Texas, registered in NPPES in June 2017. The authorized official on file is Adrienne M. Feasel, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225567704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | L2883 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other dermatologists in Austin
- 1033372586
- 1033484415
- 1053399477
- 1053756940
- 1073748281
- 1093764664
- 1124079306
- 1144684614
- 1144757592
- 1154587830
- 1174663835
- 1184246019
All 131 dermatologists in Austin · All dermatologists in Texas