Evolve Dermatology PLLC
NPI 1780441931ActiveOrganization· Dermatology· Plano, TX
Dermatology in Plano, Texas, registered in NPPES in March 2024. The authorized official on file is Joan Fernandez, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780441931 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2024 |
| Last updated in NPPES | Apr 10, 2024 |
| Certified by provider | Apr 10, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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