POWELL SPECIALTIES GROUP PLLC (NPI# 1013146612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013146612 |
| Entity Type | Organization |
| Organization Name | POWELL SPECIALTIES GROUP PLLC |
| Practice Address |
7476 Waterside Loop Rd Suite 600 Denver NC 28037-7679 |
| Practice Telephone | 7046014381 |
| Practice Fax Number | 7048225997 |
| Mailing Telephone | 7046014381 |
| Mailing Fax Number | 7048225997 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | DEBRA DIANE POWELL (MANAGER) |
| Authorized Official Telephone | 7049957941 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
7476 WATERSIDE LOOP RD SUITE 600 |
| City | DENVER |
| State | NC |
| Zip Code | 28037-7679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609848910 | Frank Avason IIi | Dentist | 7476 Waterside Loop Rd, Suite 100, Denver, NC 28037-7593 | 2006-02-02 |
| 1336519248 | Integrated Dermatology of Denver, Pllc | Dermatology | 7476 Waterside Loop Rd, Suite 600, Denver, NC 28037-7679 | 2015-10-05 |
| 1215377387 | Carolina Anti-aging and Neuropathy, Pllc | Clinic/Center | 7476 Waterside Loop Rd, Suite 600, Denver, NC 28037-7679 | 2013-07-03 |
| 1477782076 | Waterside Dermatology and Laser Center Pllc | Dermatology | 7476 Waterside Loop Rd, Suite 600, Denver, NC 28037-7679 | 2009-07-06 |
| 1548419237 | Totally Fit 4 Life Pllc | Psychiatry & Neurology | 7476 Waterside Loop Rd, Suite 600, Denver, NC 28037-7679 | 2008-09-17 |
| 1033374269 | Frank Avason IIi, Dmd, Ms, Pa | Clinic/Center | 7476 Waterside Loop Rd, Suite 100, Denver, NC 28037-7679 | 2008-07-28 |
| 1700915659 | Cason Chiropractic Center, Inc. | Chiropractor | 7476 Waterside Loop Rd, Denver, NC 28037-7679 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619253 | Patricia Marie Froneberger | Massage Therapist | 751 N Nc 16, Suite C, Denver, NC 28037 | 2020-08-11 |
| 1326682907 | Wild Hearts Counseling and Wellness, Pllc | Counselor | 7472 Waterside Loop Dr., #114, Denver, NC 28037 | 2019-11-06 |
| 1316581408 | Laura O Wesson | Counselor | 7472 Waterside Loop Road, Denver, NC 28037 | 2019-10-31 |
| 1043712854 | Bryan T. Persinger Dds Pa II | Dentist | 175 Cross Center Road, Denver, NC 28037 | 2018-03-07 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1649786716 | Vip Healthcare, Pllc | Internal Medicine | 294 Highway 16 N, Suite C, Denver, NC 28037 | 2017-12-27 |
| 1265944599 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 513 Brentwood Rd, Denver, NC 28037 | 2017-10-26 |
| 1831548106 | Christina Gliwa | Dentist | 175 Cross Center Rd, Denver, NC 28037 | 2016-06-08 |
| 1629340666 | Andrea E Garmon | Pharmacist | 6050 South North Carolina Highway 16, Denver, NC 28037 | 2012-02-07 |
| 1376830729 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7385 Nc 73 Hwy, Denver, NC 28037 | 2011-07-06 |
| Find all providers in zip 28037 | ||||
| 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 |
|---|---|---|---|---|
| 1700496668 | Sorkin Dermatology Associates Professional LLC | Dermatology | 1960 N. Ogden Street, Suite 555, Denver, CO 80218-3602 | 2020-08-05 |
| 1316577323 | Medical Man Cave Pllc | Dermatology | 250 Steele Street, Suite 350, Denver, CO 80206-5242 | 2020-01-17 |
| 1942696232 | Chante Karimkhani Aksut | Dermatology | 3920 S Hillcrest Dr, Denver, CO 80237-1110 | 2015-04-13 |
| 1245625763 | Elizabeth S Robinson | Dermatology | 3540 S Poplar St Ste 300, Denver, CO 80237-1364 | 2015-04-01 |
| 1033559646 | Shelley Yang | Dermatology | 155 S Madison St Ste 226, Denver, CO 80209-3013 | 2013-06-27 |
| 1588003628 | Phillip Herman Albright | Dermatology | 1 Polo Club Dr, Denver, CO 80209-3309 | 2013-06-21 |
| 1003173154 | Drew Michael Taylor | Dermatology | 3773 E Cherry Creek North Dr Ste 970, Denver, CO 80209-9809 | 2012-04-13 |
| 1013203769 | Danielle Marie Nelson | Dermatology | 2970 Quebec St, Suite 200, Denver, CO 80207-2931 | 2011-06-21 |
| 1659515658 | Jessica Olander | Dermatology | 425 S Cherry St Ste 907, Denver, CO 80246-1242 | 2009-04-22 |
| 1295924454 | Zeina A.w. Dajani | Dermatology | 4500 E 9th Ave Ste 640, Denver, CO 80220-3925 | 2007-10-23 |
| Find all providers in DENVER | ||||
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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.