DR. JUSTIN ROSS WASSERMAN (NPI# 1043453970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453970 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN ROSS WASSERMAN |
| Credential | MD |
| Practice Address |
1111 Avenida Del Circo Venice FL 34285-4108 |
| Practice Telephone | 9414848222 |
| Practice Fax Number | 9414863016 |
| Mailing Telephone | 9414848222 |
| Mailing Fax Number | 9414863016 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2010-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME106806 | FL | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 036122668 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036122668 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME106806 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952400798 | Justin Wasserman | Physical Medicine & Rehabilitation | 8218 Wisconsin Ave, Ste 107, Bethesda, MD 20814-3107 | 2006-09-21 |
| Street Address |
1111 AVENIDA DEL CIRCO |
| City | VENICE |
| State | FL |
| Zip Code | 34285-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516181 | Steven Jay Wasserman | Dermatology | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2005-08-24 |
| 1144525676 | Olga Ulitsky Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2011-01-13 |
| 1891098612 | Justin Ross Wasserman Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2010-12-16 |
| 1023284536 | Olga Ulitsky | Dermatology | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2008-05-05 |
| 1346467784 | Steven Jay Wasserman Md Pl | Clinic/Center | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| 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 |
|---|---|---|---|---|
| 1609967603 | Joshua M Newman | Dermatology | 1370 E Venice Ave Ste 205, Venice, FL 34285-9084 | 2006-09-27 |
| 1588768634 | Lee R Lumpkin IIi | Dermatology | 395 Commercial Court, Suite E, Venice, FL 34292-1651 | 2006-09-11 |
| 1750491494 | Bruce Allen Boyd | Dermatology | 716 The Rialto, Venice, FL 34285 | 2006-08-30 |
| 1013981364 | Anne K. Mcbride | Dermatology | 1295 Jacaranda Blvd, Venice, FL 34292-4522 | 2006-02-14 |
| 1750351193 | Noah A Craft | Dermatology | 911 Palms Blvd, Venice, CA 90291-3852 | 2006-01-26 |
| 1215911821 | Jeffrey R Hunek | Dermatology | 395 Commercial Ct Ste E, Ste A, Venice, FL 34292-1651 | 2005-12-06 |
| 1932193729 | Adam Scott Greenberg | Dermatology | 1415 E Venice Ave, Venice, FL 34292-3064 | 2005-09-07 |
| 1033504238 | Jeffrey R Hunek Md Pa | Dermatology | 395 Commercial Ct, Suite E, Venice, FL 34292-1649 | 2015-04-03 |
| 1083025688 | Le Medical Associates PC | Dermatology | 3011 Grayson Ave, Venice, CA 90291-4651 | 2014-05-16 |
| 1023284536 | Olga Ulitsky | Dermatology | 1111 Avenida Del Circo, Venice, FL 34285-4108 | 2008-05-05 |
| Find all providers in VENICE | ||||
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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.