DERMATOLOGY CENTER PC (NPI# 1073688768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073688768 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CENTER PC |
| Practice Address |
3501 Lafayette Blvd Fredericksburg VA 22408-4130 |
| Practice Telephone | 5403717118 |
| Practice Fax Number | 5403713248 |
| Mailing Telephone | 5403717118 |
| Mailing Fax Number | 5403713248 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | DR. TERRI P MORRIS (OWNER) |
| Authorized Official Telephone | 5403717118 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101056982 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5901090 | 05 | |
| VA | ANTHEM BCBS GROUP NUMBER | 333606 | 01 |
| VA | RAILROAD MEDICARE | 070011696 | 01 |
| VA | MEDICARE GROUP NUMBER | C07097 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083785877 | Dermatology Center PC | Specialist | 25510 Plymouth Rd, Redford, MI 48239-2025 | 2006-11-13 |
| 1235116195 | Dermatology Center PC | Dermatology | 7005 N Oracle Rd, Tucson, AZ 85704-4329 | 2005-12-30 |
| 1306968797 | Dermatology Center PC | Dermatology | 685 Mission Hill Way, Colorado Spgs, CO 80921-2671 | 2007-04-04 |
| 1336280189 | Dermatology Center PC | Specialist | 40 Cross St, Suite 340, Norwalk, CT 06851-4647 | 2007-02-12 |
| 1659361418 | Dermatology Center PC | Dermatology | 2525 S Telshor Blvd, Building 15 Suite 200, Las Cruces, NM 88011-9148 | 2005-10-24 |
| Street Address |
3501 LAFAYETTE BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801497 | Michael Anthony Disimone | Physician Assistant | 3501 Lafayette Blvd, Fredericksburg, VA 22408-4130 | 2005-12-09 |
| 1245873306 | Emma Ubbelohde | Nurse Practitioner | 3501 Lafayette Blvd, Fredericksburg, VA 22408-4130 | 2019-10-22 |
| 1487075008 | Caitlin N Dammin | Physician Assistant | 3501 Lafayette Blvd, Fredericksburg, VA 22408 | 2013-12-27 |
| 1194812776 | Terri P. Morris | Dermatology | 3501 Lafayette Blvd, Fredericksburg, VA 22408-4130 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| 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 |
|---|---|---|---|---|
| 1548475189 | Connor A Patterson | Dermatology | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2007-05-14 |
| 1982635157 | Robert Irving Broder | Dermatology | 301b Park Hill Dr, Fredericksburg, VA 22401-3375 | 2006-07-06 |
| 1043247455 | Michael William Braden | Dermatology | 95 E Highway St, Fredericksburg, TX 78624-5132 | 2006-06-28 |
| 1407891849 | Michael James Majors | Dermatology | 753s Washington St, Fredericksburg, TX 78624-5239 | 2006-06-19 |
| 1417932427 | Michael Peter Stevens | Dermatology | 1300 Thornton St, Fredericksburg, VA 22401-4654 | 2005-12-13 |
| 1184622268 | Henry Gerard Sacks | Dermatology | 2301 Fall Hill Ave, Suite 106, Fredericksburg, VA 22401-3349 | 2005-07-12 |
| 1043694193 | Sentara Medical Group | Dermatology | 4701 Spotsylvania Pkwy, Fredericksburg, VA 22407-9435 | 2015-07-17 |
| 1487855680 | Kim D Edhegard | Dermatology | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2007-05-29 |
| 1346371598 | Michael J Majors Md Pa | Dermatology | 95 E Highway St, Fredericksburg, TX 78624-5132 | 2007-03-08 |
| 1568591246 | Hill Country Dermatology, Pa | Dermatology | 95 E Highway St, Fredericksburg, TX 78624-5132 | 2007-03-05 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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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.