DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA


Address: 3332 Bridges St, Suite B, Morehead City, NC 28557-3280
Phone: 2526334461

DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA (NPI# 1023358231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023358231
Entity Type Organization
Organization Name DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
Practice Address 3332 Bridges St
Suite B
Morehead City
NC 28557-3280
Mailing Address Po Box 890283
Charlotte
NC 28289-0283
Practice Telephone 2526334461
Practice Fax Number 2526336016
Mailing Telephone 2526334461
Mailing Fax Number 2526336016
Enumeration Date 2013-02-25
Last Update Date 2013-02-25
Authorized Official Name DR. JAMES POLO (PRESIDENT/OWNER)
Authorized Official Telephone 2526334461
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033459011 Dermatology Associates of Coastal Carolina Dermatology 39a Office Park Dr, Jacksonville, NC 28546-3220 2013-02-27

Office Location

Street Address 3332 BRIDGES ST
SUITE B
City MOREHEAD CITY
State NC
Zip Code 28557-3280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578584215 Ruth Pinnix Cox Marriage & Family Therapist 3332 Bridges St, Morehead City, NC 28557-3280 2006-07-21
1598111866 Phyllis Christine Smith Marriage & Family Therapist 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 2016-05-05
1972972008 Daniel Fischer Social Worker 3332 Bridges St, Suite A, Morehead City, NC 28557-3280 2015-09-18
1760757835 Lechris Counseling Services, Inc. Community/Behavioral Health 3332 Bridges St, Morehead City, NC 28557-3280 2012-03-21
1932471042 One To One Counseling & Consulting Community/Behavioral Health 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 2012-02-04
1871801308 Rha Health Services, Inc. Case Management 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 2010-09-17
1538474291 Lechris Counseling Services, Inc. Counselor 3332 Bridges St, Morehead City, NC 28557-3280 2010-08-18
1730334061 Tia Renee Crooms Marriage & Family Therapist 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 2008-12-01
1023270915 Rha Health Services Inc Community/Behavioral Health 3332 Bridges St, Suite 3a, Morehead City, NC 28557-3280 2008-07-01
1679751846 Rha Health Services, Inc. Community/Behavioral Health 3332 Bridges St, Morehead City, NC 28557-3280 2008-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568022929 Lixue Dong Audiologist 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 2019-06-18
1235611682 Kayla Stanton Pharmacist 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 2018-09-02
1154823649 Myeyedr Optometry of North Carolina, Pllc Optometrist 5100 Highway 70 W, Morehead City, NC 28557 2018-03-01
1487162434 Goshen Medical Center, Incorporated Clinic/Center 4370a Arendell St, Morehead, NC 28557 2018-01-11
1063953123 Carteret Landing LLC Custodial Care Facility 221 Friendly Road, Morehead City, NC 28557 2017-03-09
1619313277 123 Go Kidz Community/Behavioral Health 2339 Shore Dr, Morehead City, NC 28557 2013-05-22
1164765855 Carly Outland Silverthorne Social Worker 209 N 35th St Ste A-2, Morehead City, NC 28557 2013-04-01
1639437981 Jeffrey Theodore Hainsworth Internal Medicine 623 N 35th St, Morehead City, NC 28557 2012-04-24
1780993832 Elizabeth Anne Mills Pharmacist 5020 Arendell St., Morehead City, NC 28557 2010-10-06
1306075650 Friendly Caregivers In Home Supportive Care 710 Arendell St., Morehead City, NC 28557 2009-07-08
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Taxonomy Information

Taxonomy Code 207NI0002X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Clinical & Laboratory Dermatological Immunology

Taxonomy Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033459011 Dermatology Associates of Coastal Carolina Dermatology 39a Office Park Dr, Jacksonville, NC 28546-3220 2013-02-27
1396270468 Sona Medspa Physician Group, Pllc Dermatology 7825 Ballantyne Commons Pkwy, Suite 300, Charlotte, NC 28277-3174 2017-04-26
1467497313 John David Ausum Dermatology 1100 Tunnel Rd, Vamc Med Service, Asheville, NC 28805-2043 2006-06-17
1316943145 Central Carolina Dermatology Clinic Dermatology 404 Westwood Ave, Ste 107, High Point, NC 27262-4316 2005-06-27

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City MOREHEAD CITY
Zip Code 28557

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Dataset Information

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.

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