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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459011 | Dermatology Associates of Coastal Carolina | Dermatology | 39a Office Park Dr, Jacksonville, NC 28546-3220 | 2013-02-27 |
| Street Address |
3332 BRIDGES ST SUITE B |
| City | MOREHEAD CITY |
| State | NC |
| Zip Code | 28557-3280 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28557 | ||||
| Taxonomy Code | 207NI0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Clinical & Laboratory Dermatological Immunology |
| 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. |
| 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 |
| City | MOREHEAD CITY |
| Zip Code | 28557 |
Please comment or provide details below to improve the information on DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA.
| 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.