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WESTLAKE DERMATOLOGY
NPI 1154598779
Dermatology in Marble Falls, TX

Active since May 13, 2008CLIA Certified · 4 labs
507 W FM 2147, SUITE 202, MARBLE FALLS, TX 78654(512) 328-3376(512) 306-0222 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Westlake Dermatology NPPES

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

WESTLAKE DERMATOLOGY (NPI 1154598779) is a healthcare organization registered as a dermatology in Marble Falls, Texas and active in the NPI registry since May 2008. The organization holds 4 active CLIA laboratory certificates and lists Gregory A Nikolaidis, President, as its authorized official.

NPPES Registry Identity

NPI1154598779
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWESTLAKE DERMATOLOGY PA
Location Address507 W FM 2147, SUITE 202Marble Falls, TX 78654-6279
Mailing Address8825 Bee Cave Rd, Suite 100Austin, TX 78746-4720 · (512) 328-3376 · Fax (512) 306-0222
Phone(512) 328-3376
Fax(512) 306-0222
Organization SubpartNo
Authorized OfficialGregory A NikolaidisPresident · (512) 328-3376
Enumeration DateMay 13, 2008
Last NPPES UpdateNovember 5, 2015
✔ NPI 1154598779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 ListedPhysician AssistantTaxonomy 363A00000X
507 W FM 2147, Marble Falls, TX 78654
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Other Names 1

Doing Business AsWestlake Dermatology

Other Identifiers 2

Other00591TTX · Bcbs Of Texas Group#
Medicare PIN00440ZTX

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

CLIA Laboratory Certificates CMS CLIA 4

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 45D1037562

Westlake Dermatology And Cosmetic Surgery · Austin, TX
Active · expires Dec 11, 2027
CLIA Number45D1037562
Laboratory TypeIndependent
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorPeggy Chern
Laboratory Phone(512) 328-3376
Laboratory LocationWestlake Dermatology And Cosmetic Surgery8825 Bee Caves Road 2nd Floor, Austin, TX 78746
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2178958

Westlake Dermatology Clinical Research Center · Austin, TX
Active · expires Feb 11, 2028
CLIA Number45D2178958
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDaniel Friedmann
Laboratory Phone(512) 615-3180
Laboratory LocationWestlake Dermatology Clinical Research Center8825 Bee Caves Suite G, Austin, TX 78746
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 45D1103581

Westlake Dermatology & Cosmetic Surgery Marble Falls · Marble Falls, TX
Active · expires Dec 7, 2027
CLIA Number45D1103581
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorHubert M. Chodkiewicz
Laboratory Phone(830) 693-4800
Laboratory LocationWestlake Dermatology & Cosmetic Surgery Marble Falls800 S Highway 281, Marble Falls, TX 78654
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 45D2246068

Westlake Dermatology And Cosmetic Surgery · Austin, TX
Active · expires Oct 24, 2026
CLIA Number45D2246068
Laboratory TypeIndependent
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorJulie E. Jackson
Laboratory Phone(512) 617-9197
Laboratory LocationWestlake Dermatology And Cosmetic Surgery8825 Bee Caves Road Lower Level Suite B, Austin, TX 78746
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Westlake Dermatology PA's NPI number?

The NPI number for Westlake Dermatology PA is 1154598779. It was assigned to this organization in the NPPES registry on May 13, 2008. The provider is doing business as Westlake Dermatology.

Where is Westlake Dermatology PA located?

Westlake Dermatology PA is located at 507 W Fm 2147 Suite 202, Marble Falls, TX 78654. The listed phone number is (512) 328-3376.

What is Westlake Dermatology PA's specialty?

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

Does Westlake Dermatology PA hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Westlake Dermatology PA was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.