DAVIS DERMATOLOGY, PA (NPI# 1104330224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104330224 |
| Entity Type | Organization |
| Organization Name | DAVIS DERMATOLOGY, PA |
| Practice Address |
504 S Orange St New Smyrna Beach FL 32168-7319 |
| Practice Telephone | 3864232218 |
| Mailing Telephone | 3864232218 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. VALERIE DAVIS (OWNER) |
| Authorized Official Telephone | 3864232218 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME51662 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 047966700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797664 | Davis Dermatology, Pa | Dermatology | 6500 Greenville Ave, Suite 195, Dallas, TX 75206-1014 | 2012-07-23 |
| Street Address |
504 S ORANGE ST |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32168-7319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332819 | Valerie G. Davis | Dermatology | 504 S Orange St, New Smyrna Beach, FL 32168-7319 | 2005-11-10 |
| 1477741916 | Valerie G. Davis, M.d. | Dermatology | 504 S Orange St, New Smyrna Beach, FL 32168-7319 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546504 | Karen Lynn Gray | Occupational Therapist | 125 Memorial Medical Parkway, New Smyrna Beach, FL 32168 | 2020-04-15 |
| 1619500154 | Janelle Wadman | Physical Therapist | 1994 Sr-44, New Smyrna Beach, FL 32168 | 2020-02-12 |
| 1184262354 | Jessica Magers, LLC | Clinic/Center | 136 Julie St., New Smyrna Beach, FL 32168 | 2019-12-18 |
| 1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
| 1326453747 | Prc Associates, LLC | Anesthesiology | 501 S. Orange St., New Smyrna Beach, FL 32168 | 2014-06-24 |
| 1265842272 | David Farmer | Chiropractor | 532 Canal Street, New Smyrna Beach, FL 32168 | 2014-04-29 |
| 1184059750 | Fairgreen Assisted Living Inc. | Assisted Living Facility | 1150 Wayne Ave., New Smyrna Beach, FL 32168 | 2013-09-13 |
| 1427393982 | Jami L Peace | Hearing Instrument Specialist | 111 N Orange St, New Smyrna Beach, FL 32168 | 2012-12-10 |
| 1154608149 | Roberta Bornemann | Specialist | 519 Mill Run Drive, New Smyrna, FL 32168 | 2011-11-04 |
| 1023314358 | Scott Asman | Hearing Instrument Specialist | 1958 State Road 44, New Smyrna Beach, FL 32168 | 2011-02-03 |
| Find all providers in zip 32168 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332819 | Valerie G. Davis | Dermatology | 504 S Orange St, New Smyrna Beach, FL 32168-7319 | 2005-11-10 |
| 1477741916 | Valerie G. Davis, M.d. | Dermatology | 504 S Orange St, New Smyrna Beach, FL 32168-7319 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
| 1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
| 1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
| 1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
| 1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
| 1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
| 1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
| 1336319045 | Miloslava Mician Md Pa | Dermatology | 3619 W Waters Ave, Tampa, FL 33614-2783 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW SMYRNA BEACH |
| Zip Code | 32168 |
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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.