VITALOGY SKINCARE
NPI 1023215662
Dermatology in Georgetown, TX

Q: What is Vitalogy P.A.'s NPI number?

The NPI number for Vitalogy P.A. is 1023215662. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is doing business as Vitalogy Skincare.

Q: What is Vitalogy P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Vitalogy P.A. was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2007CLIA 45D1069391 · Certificate of Compliance

4513 WILLIAMS DR, GEORGETOWN, TX 78633(512) 930-3909(512) 240-5469 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vitalogy Skincare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALOGY SKINCARE (NPI 1023215662) is a healthcare organization registered as a dermatology in Georgetown, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 20, 2027 and lists John Ramm, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023215662

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameVITALOGY P.A.

Location Address4513 WILLIAMS DRGeorgetown, TX 78633-1302

Mailing Address4513 Williams DrGeorgetown, TX 78633-1302 · (512) 930-3909 · Fax (512) 240-5469

Phone(512) 930-3909

Fax(512) 240-5469

Organization SubpartNo

Authorized OfficialJohn RammCfo · (512) 930-3909

Enumeration DateJune 28, 2007

Last NPPES UpdateFebruary 6, 2017

✔ NPI 1023215662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in TX · M5607

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License M5607 (TX)

4513 WILLIAMS DR, Georgetown, TX 78633

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Other Names 1

Doing Business AsVitalogy Skincare

Other Identifiers 2

Medicare PIN00Y576TX

Medicare PIN301405

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D1069391

Vitalogy Skincare Dba (georgetown) · Georgetown, TX

Active · expires Jan 20, 2027

CLIA Number45D1069391

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorDr. Alok Vij

Laboratory Phone(512) 763-3770

Laboratory LocationVitalogy Skincare Dba (georgetown)4513 Williams Drive, Georgetown, TX 78633

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARPY JITENDRA KOTHARI PA

Physician Assistant