PREMIER DERMATOLOGY (NPI# 1104270834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104270834 |
| Entity Type | Organization |
| Organization Name | PREMIER DERMATOLOGY |
| Other Organization Name | PANZER DERMATOLOGY |
| Practice Address |
537 Stanton Christiana Rd Suites 107,111,207 & 209 Newark DE 19713-2146 |
| Practice Telephone | 3026337550 |
| Mailing Telephone | 3026337550 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MARYPAT KWOKA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3026337550 |
| Authorized Official Credential | MSM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0001054 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DIVISION OF PROFESSIONAL REGULATION LICENSE | C5-0001054 | 01 |
| Other Name | Type Code |
|---|---|
| Panzer Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952828 | Premier Dermatology | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2016-06-10 |
| 1003146721 | Premier Dermatology | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2009-12-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PREMIER DERMATOLOGY P.C. | 44121 Harry Byrd Hwy St-210, Ashburn, Virginia 20147 |
| Colorado Business Entities | Premier Dermatology, PLLC | 7867 S. Cathay Street, Centennial, CO 80016 |
| Street Address |
537 STANTON CHRISTIANA RD SUITES 107,111,207 & 209 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012515 | Helen A. Mashek | Dermatology | 537 Stanton Christiana Rd, Suite # 207, Newark, DE 19713-2146 | 2005-06-13 |
| 1730542424 | Chantel Priolo Mozal | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-03-31 |
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1376941443 | Veena Reddy | Dentist | 537 Stanton Christiana Rd, Suite 211, Newark, DE 19713-2146 | 2014-12-05 |
| 1104223007 | Sara Beth Abbo | Nurse Practitioner | 537 Stanton Christiana Rd, Suite 201, Newark, DE 19713-2146 | 2014-11-21 |
| 1518363563 | Tiffany Hill | Nurse Practitioner | 537 Stanton Christiana Rd, 203, Newark, DE 19713-2146 | 2014-11-18 |
| 1386056364 | Amy Wharry | Registered Nurse | 537 Stanton Christiana Rd, Suite 109, Newark, DE 19713-2146 | 2014-05-27 |
| 1417388711 | Naura Shah | Physician Assistant | 537 Stanton Christiana Rd, Newark, DE 19713-2146 | 2013-12-11 |
| 1245574250 | Gwen Hall Dalphon | Physician Assistant | 537 Stanton Christiana Rd, Suite 207, Newark, DE 19713-2146 | 2012-11-15 |
| 1801191770 | Rachel Neumoyer | Nurse Practitioner | 537 Stanton Christiana Rd, Suite 209, Newark, DE 19713-2146 | 2011-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457702177 | Jacinta Hollinger | Physician Assistant | C78-80 Omega Dr, Newark, DE 19713-2076 | 2016-06-23 |
| 1851709877 | Bethany Anne Melo | Physician Assistant | 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 | 2014-07-23 |
| 1437442357 | Sherifa P Julien-johnson | Physician Assistant | 238 Mulberry St, Newark, NJ 07102-3528 | 2011-05-25 |
| 1821319997 | Melva M Brown | Physician Assistant | 354 Doremus Ave, Newark, NJ 07105-4882 | 2010-06-11 |
| 1437303302 | Helen Brightman | Physician Assistant | 150 Bergen St # H245, Newark, NJ 07103-2496 | 2008-11-05 |
| 1669657623 | John Stewart Constance | Physician Assistant | Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 | 2008-01-08 |
| 1114935152 | Susan E Matarese | Physician Assistant | 1200 Peoples Plz, Suite 1285, Newark, DE 19702-5701 | 2006-08-04 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1710596895 | Alyssa N Floyd | Physician Assistant | 78 Omega Dr Bldg C, Newark, DE 19713-2064 | 2020-07-24 |
| 1649898834 | Nicholas D Biermann | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-14 |
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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.