NPPES file of Aug 9, 2026

Mountain West Derm - Blackhart PLLC in Georgetown, TX

This location of Mountain West Derm Blackhart bills under NPI 1366018848, an organization record issued on Jun 3, 2021 with the primary taxonomy Dermatology Physician. It is one of 9 NPIs registered under this name; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1366018848
Legal name
Mountain West Derm - Blackhart PLLC
Entity
Type 2 · organization
Primary taxonomy
Dermatology Physician 207N00000X
Practice location
4513 WILLIAMS DR, Georgetown, TX 78633
Phone
512-930-3909
Enumerated
Jun 3, 2021
Record updated
Jun 14, 2021
Authorized official
President (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

7 clinicians CMS lists with Mountain West Derm Blackhart in Georgetown

  1. Elizabeth Cabrera, MDDermatology Physician1245242262
  2. Amanda Dibenedetto, FNP - CFamily Nurse Practitioner1972810976
  3. Debra Gauthier, FNP-BCFamily Nurse Practitioner1679808695
  4. Mollie Jan, DODermatology Physician1801072855
  5. Elaine Otchere, MDMOHS-Micrographic Surgery Physician1073172433
  6. Amara SayedDermatology Physician1831215763
  7. Alok Vij, MDDermatology Physician1851682900

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 9 Mountain West Derm Blackhart NPIs

Every location registered under this name, in 8 cities.

See every location

Checking an organization

  1. Confirm the business with the Texas secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 207N00000X Dermatology Physician
  • 207ND0101X MOHS-Micrographic Surgery Physician
  • 207ND0900X Dermatopathology Physician

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.