HIGH PLAINS DERMATOLOGY CENTER, P.A.
NPI 1083667117
Specialist in Amarillo, TX

Active since May 18, 2006CLIA 45D0507060 · Microscopy
4302 WOLFLIN AVE, AMARILLO, TX 79106(806) 355-9866(806) 355-4004 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About High Plains Dermatology Center, P.a. NPPES

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

HIGH PLAINS DERMATOLOGY CENTER, P.A. (NPI 1083667117) is a healthcare organization registered as a specialist in Amarillo, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 19, 2026 and lists Ronald Hague, Admin, as its authorized official.

NPPES Registry Identity

NPI1083667117
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHIGH PLAINS DERMATOLOGY CENTER, P.A.
Location Address4302 WOLFLIN AVEAmarillo, TX 79106-5959
Mailing Address4302 Wolflin AveAmarillo, TX 79106-5959 · (806) 355-9866 · Fax (806) 355-4004
Fax(806) 355-4004
Organization SubpartNo
Authorized OfficialRonald HagueAdmin · (806) 355-9866
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 29, 2009
NPI 1083667117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4302 WOLFLIN AVE, Amarillo, TX 79106

Other Identifiers 2

Medicare PIN00R737TX
Medicaid084882201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0507060

High Plains Dermatology Center PA · Amarillo, TX
Active · expires Oct 19, 2026
CLIA Number45D0507060
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorJason K. Jones
Laboratory Phone(806) 355-9866
Laboratory LocationHigh Plains Dermatology Center PA4302 Wolflin Ave, Amarillo, TX 79106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

Dermatology
4302 WOLFLIN AVE
AMARILLO, TX 79106
Dermatology
4302 WOLFLIN AVE
AMARILLO, TX 79106
Dermatology (Dermatopathology)
4302 WOLFLIN AVE
AMARILLO, TX 79106
Dermatology
4302 WOLFLIN AVE
AMARILLO, TX 79106
Specialist
4302 WOLFLIN AVE
AMARILLO, TX 79106
Specialist
4302 WOLFLIN AVE
AMARILLO, TX 79106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Plains Dermatology Center, P.A.'s NPI number?

The NPI number for High Plains Dermatology Center, P.A. is 1083667117. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is High Plains Dermatology Center, P.A. located?

High Plains Dermatology Center, P.A. is located at 4302 Wolflin Ave, Amarillo, TX 79106. The listed phone number is (806) 355-9866.

What is High Plains Dermatology Center, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does High Plains Dermatology Center, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0507060) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for High Plains Dermatology Center, P.A. was last updated on October 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.