SUMMIT DERMATOLOGY, PLLC
NPI 1912418963
Dermatology in Tyler, TX

Active since October 17, 2017
1038 S FLEISHEL AVE, TYLER, TX 75701(903) 593-9474(903) 593-9477 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Dermatology, Pllc NPPES

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

SUMMIT DERMATOLOGY, PLLC (NPI 1912418963) is a healthcare organization registered as a dermatology in Tyler, Texas and active in the NPI registry since October 2017. The organization lists Jason L Blaser, President, as its authorized official.

NPPES Registry Identity

NPI1912418963
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUMMIT DERMATOLOGY, PLLC
Location Address1038 S FLEISHEL AVETyler, TX 75701-2044
Mailing Address1038 S Fleishel AveTyler, TX 75701-2044 · (903) 593-9474 · Fax (903) 593-9477
Fax(903) 593-9477
Organization SubpartNo
Authorized OfficialJason L BlaserPresident · (903) 593-9474
Enumeration DateOctober 17, 2017
NPI 1912418963 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 · K9734
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 · DermatopathologyTaxonomy 207ND0900X · License K9734 (TX)
1038 S FLEISHEL AVE, Tyler, TX 75701

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

Other Providers at the Same Location NPPES 2

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

Dermatology (MOHS-Micrographic Surgery)
1038 S FLEISHEL AVE
TYLER, TX 75701
Physician Assistant
1038 S FLEISHEL AVE
TYLER, TX 75701

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 Summit Dermatology, PLLC's NPI number?

The NPI number for Summit Dermatology, PLLC is 1912418963. It was assigned to this organization in the NPPES registry on October 17, 2017.

Where is Summit Dermatology, PLLC located?

Summit Dermatology, PLLC is located at 1038 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 593-9474.

What is Summit Dermatology, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Summit Dermatology, PLLC was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.