DERMATOLOGY ASSOCIATES OF BAY COUNTY, PA (NPI# 1053675660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053675660 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF BAY COUNTY, PA |
| Practice Address |
20370 Ne Burns Ave Blountstown FL 32424-1045 |
| Mailing Address |
1900 Harrison Ave Panama City FL 32405-4542 |
| Practice Telephone | 8507697546 |
| Practice Fax Number | 8507852123 |
| Mailing Telephone | 8507691668 |
| Mailing Fax Number | 8507852123 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | DR. ROBERT JOHN SIRAGUSA (PRESIDENT DERMATOLOGY ASSOCIATES) |
| Authorized Official Telephone | 8507691668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME23244 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000164600 | 05 |
| Street Address |
20370 NE BURNS AVE |
| City | BLOUNTSTOWN |
| State | FL |
| Zip Code | 32424-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285139 | Dassee Community Health Systems | General Acute Care Hospital | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2005-06-14 |
| 1467908426 | Robert Casey Dobson | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2016-08-30 |
| 1659739571 | Cindy Mears Porter | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2016-02-05 |
| 1508221284 | Mary Sue Moore | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2015-12-22 |
| 1407286784 | Laura Ford | Registered Nurse | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2013-11-22 |
| 1588944334 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2011-08-25 |
| 1649596784 | Calhoun-liberty Hospital Association Inc | Clinic/Center | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-14 |
| 1033434196 | Calhoun-liberty Hospital Association Inc | Skilled Nursing Facility | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2010-04-01 |
| 1992973499 | Calhoun-liberty Hospital Association Inc | Ambulance | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2008-02-19 |
| 1033279989 | Linda S Deese | Nurse Practitioner | 20370 Ne Burns Ave, Blountstown, FL 32424-1045 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738796 | Marsana Brunner | Nurse Practitioner | 16875 Ne Cayson St, Blountstown, FL 32424 | 2017-02-10 |
| 1316395890 | Panhandle Home Care | Home Health | 16364 Sw Chipola Road, Blountstown, FL 32424 | 2016-05-25 |
| 1659743813 | Tender Loving Enrichment Services | Custodial Care Facility | 17434 Nw 11th St, Blountstown, FL 32424 | 2015-10-28 |
| 1992040034 | Heather Montford King | Social Worker | 10611 Nw Sr 20, Bristol, FL 32424 | 2012-11-30 |
| 1821305988 | Senior Dental Care, LLC | Dentist | 20120 Central Avewest, Blountstown, FL 32424 | 2010-09-09 |
| 1164756359 | Amy Kleinrichert Hurt | Speech-Language Pathologist | 19977 N.e. Marie Ave., Blountstown, FL 32424 | 2009-09-22 |
| 1477725315 | Torreya Emergency Physicians | Emergency Medicine | 424 Burns Avenue, Blountstown, FL 32424 | 2008-04-01 |
| 1770793184 | Alexandra Kimbrel | Pharmacist | 20700 Central Ave W, Blountstown, FL 32424 | 2007-05-23 |
| 1770628315 | Howell Stewart Goodman Sr. | Pharmacist | 17324 Main Street North, Blountstown, FL 32424 | 2007-02-21 |
| 1831237825 | Patricia F. Lowther | Speech-Language Pathologist | 5901 Whitfield Ave., Sarasota, FL 32424 | 2007-02-02 |
| Find all providers in zip 32424 | ||||
| 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 |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
| City | BLOUNTSTOWN |
| Zip Code | 32424 |
Please comment or provide details below to improve the information on DERMATOLOGY ASSOCIATES OF BAY COUNTY, PA.
| 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.