COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
NPI 1083769467
Dermatology - Dermatopathology in Dallas, TX
NPI Status: Active since January 24, 2007
Contact Information
2110 RESEARCH ROW
SUITE 100
DALLAS, TX
ZIP 75235
Phone: (214) 530-5200
- Organization
- Dermatology
- Dermatopathology
- Accepts Insurance
- CLIA Number: 45D0988704
- CLIA Cert. Type: Other - CONSULTING SERVICES
- CLIA Exp. Date: 11-28-2025
About COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
This page provides the complete NPI Profile along with additional information for Cockerell Dermatology Consulting Services, Pa, a provider established in Dallas, Texas operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1083769467 assigned on January 2007. The practitioner's primary taxonomy code is 207ND0900X with license number F9311 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jean Haywood (Accounts Manager)
- NPI
- 1083769467
- Provider Name
- COCKERELL DERMATOLOGY CONSULTING SERVICES, PA
- Entity Type
- Organization
- Location Address
- 2110 RESEARCH ROW SUITE 100 DALLAS, TX 75235
- Location Phone
- (214) 530-5200
- Mailing Address
- 25 HIGHLAND PARK VLG BOX 100-335 DALLAS, TX 75205
- Mailing Phone
- (817) 379-5381
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 08-26-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Dermatopathology
- Taxonomy Code
- 207ND0900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- F9311
- License State
- TX
- Taxonomy Description
- A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00Z642 | MEDICARE PIN (08) | ||
| 127246001 | MEDICAID (05) | AR | |
| 60RQ | OTHER (01) | TX | BLUE CROSS |
| A63878 | MEDICARE UPIN (02) | TX | |
| 137371406 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0988704
- Facility Type
- Other - CONSULTING SERVICES
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- CLAY J. COCKERELL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Cockerell Dermatology Consulting Services, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 7 | 6 | 9 | 4 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 14 | 6 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 4 + 6 + 1 + 8 + 4 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1083769467 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023007747 | MRS. KAREN B HELLER M.S. Individual | Genetic Counselor, MS | 2110 RESEARCH ROW DALLAS, TX 75235 (214) 645-7005 |
| 1285824433 | ATOUSA MALEKI PH.D. Individual | Medical Genetics (Clinical Cytogenetics) | 2110 RESEARCH ROW STE. 110 DALLAS, TX 75235 (214) 645-7018 |
| 1235119298 | DR. CLAY J COCKERELL MD Individual | Dermatology (Dermatopathology) | 2110 RESEARCH ROW SUITE 100 DALLAS, TX 75235 (214) 530-5200 |
| 1528300837 | COCKERELL DERMATOPATHOLOGY PA Organization | Pathology (Dermatopathology) | 2110 RESEARCH ROW SUITE #100 DALLAS, TX 75235 (214) 530-5200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083769467, enumerated in the NPI registry as an "organization" on January 24, 2007
The provider is located at 2110 Research Row Suite 100 Dallas, Tx 75235 and the phone number is (214) 530-5200
This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D0988704 for a "other - consulting services" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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