REAL SKIN DERMATOLOGY
NPI 1922658897
Dermatology in Gatesville, TX

NPI Status: Active since September 12, 2019

Contact Information

1507 W MAIN ST
GATESVILLE, TX
ZIP 76528
Phone: (254) 265-7100

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  • Organization
  • Dermatology
  • CLIA Number: 45D2286824
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 08-02-2025

About REAL SKIN DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Real Skin Dermatology, a provider established in Gatesville, Texas operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1922658897 assigned on September 2019. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as Real Skin Dermatology. The authorized official of this NPI record is Dr. Russell Scott Rowe Md (Ceo/owner)

NPI
1922658897
Provider Legal Name
RUSSELL ROWE, MD, PA
Other Organization Name
REAL SKIN DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1507 W MAIN ST GATESVILLE, TX 76528
Location Phone
(254) 265-7100
Mailing Address
5100 FRANKLIN AVE STE C WACO, TX 76710
Mailing Phone
(254) 265-7100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2019
Last Update Date
05-30-2023
Code Navigator

A dermatologist like Real Skin Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

  • 1618 Canyon Creek Dr Ste 120
    Temple, TX 76502
    (254) 265-7100
  • 3655 Highway 377 S
    Brownwood, TX 76801
    (254) 265-7100
  • 5100 Franklin Ave Ste C
    Waco, TX 76710
    (254) 265-7100
  • 307 Live Oak St
    Marlin, TX 76661
    (254) 265-7100
  • 101 Posey Ave
    Clifton, TX 76634
    (254) 265-7100
  • 303 N Brown St
    Hamilton, TX 76531
    (254) 265-7100
  • 10201 SH-16
    Comanche, TX 76442
    (254) 265-7100
  • 1323 E Franklin St Ste 103
    Hillsboro, TX 76645
    (254) 265-7100

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

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RUSSELL SCOTT ROWE MD

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(301) 919-0955

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
45D2286824
Facility Type
Independent
Certificate Effective Date
August 03, 2023
Certificate Expiration Date
August 02, 2025
Laboratory Director
RUSSELL S. ROWE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Real Skin Dermatology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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.
1922658897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294212516818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 2 + 5 + 1 + 6 + 8 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1922658897 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992964431BRAZOS PULMONARY AND SLEEP ASSOCIATES PA
Organization
Internal Medicine (Pulmonary Disease)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 248-6308
1922300623MRS. NATALIE JOY KORTIS PA
Individual
Physician Assistant1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1083673123DR. STEVE MARK LARSEN PH.D.
Individual
Psychologist (Clinical)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-8251
1295241305 KERRY ZACHARIAS FNP
Individual
Nurse Practitioner (Family)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 248-6245
1679065833 ASHLEY LYNETTE STEPHENS FNP
Individual
Nurse Practitioner (Family)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1316003064 KIMBERLY JO JACOBS PA
Individual
Physician Assistant1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1104973304 MARK H GIBBY M.D.
Individual
Family Medicine1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1316427883 KELLI DUDLEY
Individual
Nurse Practitioner (Family)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1932129657 GARY LYNN CRAMER D.P.M.
Individual
Podiatrist1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-8251
1891290086 LANDON BELCHER DO
Individual
Family Medicine1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-8251
1265575104CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Organization
Ambulance (Land Transport)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-1248
1487291951 LESA MARIE RODRIGUEZ FNP
Individual
Nurse Practitioner (Family)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1629573852DR. REBECCA JEAN BARI DPM
Individual
Podiatrist1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1861150385 NICOLE AMBER BATCHELLER FNP-C
Individual
Nurse Practitioner (Family)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1750358719DR. JAMES ALAN BARKER M.D.
Individual
Internal Medicine (Pulmonary Disease)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-8251
1134215643 JEFFREY BATES M.D.
Individual
Emergency Medicine1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-8251
1215026232 RUSSELL SCOTT ROWE MD
Individual
Dermatology1507 W MAIN ST
GATESVILLE, TX 76528
(254) 265-7100
1598727844DR. SHELDON CHAFFER II M.D.
Individual
Internal Medicine (Nephrology)1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166
1013920248 AARON GARY HUMPHREYS MD
Individual
Orthopaedic Surgery1507 W MAIN ST
GATESVILLE, TX 76528
(254) 248-2166
1033143474DR. TIMOTHY MICHAEL DANNEMILLER M.D.
Individual
Family Medicine1507 W MAIN ST
GATESVILLE, TX 76528
(254) 865-2166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922658897, enumerated in the NPI registry as an "organization" on September 12, 2019

The provider is located at 1507 W Main St Gatesville, Tx 76528 and the phone number is (254) 265-7100

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider's CLIA number is 45D2286824 for a "independent" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on September 12, 2019. 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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