KAREN C PENROSE (NPI# 1003907478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003907478 |
Entity Type | Individual |
Full Name | KAREN C PENROSE |
Credential | NP |
Practice Address |
900 Mohawk St Ste E Savannah GA 31419-1768 |
Practice Telephone | 9129250067 |
Practice Fax Number | 9129270267 |
Mailing Telephone | 9129250067 |
Mailing Fax Number | 9129270267 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207ND0900X |
Dermatology Specialization: Dermatopathology |
RN101568 | GA | Allopathic & Osteopathic Physicians |
X | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
RN101568 | GA | Allopathic & Osteopathic Physicians |
X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
RN101568 | GA | Allopathic & Osteopathic Physicians |
X | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN101568 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | AMERIGROUP NUMBER | 10053251 | 01 |
GA | WELLCARE NUMBER | 341107 | 01 |
GA | WELLCARE NUMBER | 3311616 | 01 |
Street Address |
900 MOHAWK ST STE E |
City | SAVANNAH |
State | GA |
Zip Code | 31419-1768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710966866 | John M Searles Jr. | Surgery | 900 Mohawk St Ste E, Savannah, GA 31419 | 2006-01-16 |
1376651026 | Christopher J Anderson | Dermatology | 900 Mohawk St Ste E, Savannah, GA 31419-1768 | 2006-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
Find all providers in zip 31419 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285613307 | Robert W Wetherington | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2006-01-17 |
1467431940 | Narayan S Naik | Dermatology | 1200 Lake Hearn Dr Ne, Suite300, Atlanta, GA 30319-1415 | 2006-01-12 |
1518967918 | Marian C. Finan | Dermatology | 1200 Lake Hearn Drive, Suite 300, Atlanta, GA 30319 | 2005-07-28 |
1396243630 | Bakotic Pathology Associates, LLC | Dermatology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2018-01-31 |
1366862203 | Parisa Mansoori | Dermatology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349 | 2014-04-18 |
1841632783 | Dermpath and Derm Consultants | Dermatology | 1428 Scott Blvd, Decatur, GA 30030-1424 | 2013-07-19 |
1689019184 | Abha Soni | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-09 |
1053565580 | Johns Creek Dermatology and Family Medicine, P.C. | Dermatology | 6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097 | 2008-11-11 |
1679751978 | Zlatan Oruc | Dermatology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
1780803098 | Jill Buckthal-mccuin | Dermatology | 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642-5285 | 2007-04-25 |
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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.