AESTHETIC DERMATOLOGY ASSOCIATES, PC (NPI# 1003845835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003845835 |
| Entity Type | Organization |
| Organization Name | AESTHETIC DERMATOLOGY ASSOCIATES, PC |
| Practice Address |
176 S New Middletown Rd Ste 203 Media PA 19063 |
| Mailing Address |
176 S New Middletown Rd Ste 203 Media PA 19063-5255 |
| Practice Telephone | 6105667300 |
| Practice Fax Number | 6108918973 |
| Mailing Telephone | 6105667300 |
| Mailing Fax Number | 6108918973 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | JAMIE F ALTMAN (PRESIDENT) |
| Authorized Official Telephone | 6105667300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK | 1587218 | 01 | |
| AMERIHEALTH HMO | 2269675000 | 01 | |
| AETNA HMO | 3473389 | 01 | |
| CIGNA | 7383842007 | 01 | |
| KEYSTONE EAST AND 65 ONLY | 2269675000 | 01 | |
| BCBS | 001587218 | 01 | |
| PERSONAL CHOICE | 001587218 | 01 | |
| CIGNA HMO | 7383842007 | 01 | |
| MEDICARE RAILROAD | P00128279 | 01 | |
| AET | 3473389 | 01 | |
| AMERIHEALTH BLAIR MILL | P87218 | 01 | |
| IBC | 2269675000 | 01 | |
| AMERIHEALTH | 001587218 | 01 | |
| COVENTRY HMO AND PPO | 209076 | 01 | |
| AETNA | 7593441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131536 | Aesthetic Dermatology Associates, PC | Non-Pharmacy Dispensing Site | 21 Industrial Blvd Ste 101, Paoli, PA 19301-1610 | 2018-10-29 |
| Street Address |
176 S NEW MIDDLETOWN RD STE 203 |
| City | MEDIA |
| State | PA |
| Zip Code | 19063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790113587 | Nancy Sanfrancesco | Physician Assistant | 176 S New Middletown Rd Ste 203, Media, PA 19063-5255 | 2013-10-15 |
| 1740523315 | Laura Marie Schilling | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2013-04-02 |
| 1376774570 | Gopal Atmaram Patel | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2009-08-05 |
| 1932139342 | Jamie F Altman | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831534445 | Amy Leib | Dermatology | 101 Chesley Dr Ste 100, Media, PA 19063-1761 | 2013-05-09 |
| 1134127848 | John Joseph Laskas | Dermatology | 101 Chesley Dr, Suite 100, Media, PA 19063-1761 | 2005-07-07 |
| 1740523315 | Laura Marie Schilling | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2013-04-02 |
| 1508153545 | Trisha Sujaya Dasgupta | Dermatology | 101 Chesley Dr, Dermatology, Ltd., Media, PA 19063-1761 | 2011-06-28 |
| 1376774570 | Gopal Atmaram Patel | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2009-08-05 |
| 1487897617 | Amy Lynn Basile | Dermatology | 1088 W Baltimore Pike, Suite 2506, Media, PA 19063-5146 | 2009-04-17 |
| 1659538148 | Joseph William Laskas | Dermatology | 101 Chesley Dr, Media, PA 19063-1761 | 2008-05-21 |
| 1093922536 | Karen Pearce Riggs | Dermatology | 101 Chesley Dr, Suite Number 740, Media, PA 19063-1761 | 2007-05-16 |
| 1932139342 | Jamie F Altman | Dermatology | 176 S New Middletown Rd Ste 203, Media, PA 19063 | 2006-07-03 |
| 1154366557 | Arthur K. Balin, Md, Phd, PC | Dermatology | 110 Chesley Dr, Media, PA 19063-1755 | 2006-06-19 |
| Find all providers in MEDIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.