DERMLAB, LLC (NPI# 1164764528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164764528 |
| Entity Type | Organization |
| Organization Name | DERMLAB, LLC |
| Practice Address |
3918 Montclair Rd Suite 105 Mountain Brk AL 35213-2425 |
| Practice Telephone | 2057053550 |
| Practice Fax Number | 2057053554 |
| Mailing Telephone | 2057053550 |
| Mailing Fax Number | 2057053554 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | CHARLES A PARRISH (MANAGER) |
| Authorized Official Telephone | 2055668047 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
3918 MONTCLAIR RD SUITE 105 |
| City | MOUNTAIN BRK |
| State | AL |
| Zip Code | 35213-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164646238 | Charles Andrew Parrish | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-04-12 |
| 1568519445 | Stephen E. Mason | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-01-04 |
| 1568527711 | Special Formula Prescriptions Inc | Pharmacy | 3918 Montclair Rd, Ste 203, Mountain Brk, AL 35213-2425 | 2006-12-27 |
| 1134157597 | Michael Keith Jacobs | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609920404 | Danielle Marie Wehle | Pathology | 3918 Montclair Rd Ste 105, Mountain Brk, AL 35213-2417 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871572800 | Grant E Eudy | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2006-01-10 |
| 1245224294 | Cahaba Pathology | Pathology | 644 2nd St Ne, Suite 2, Alabaster, AL 35007-8824 | 2005-09-06 |
| 1265438972 | Emily Fowler Omura | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2005-06-27 |
| 1750386827 | Burson T Williams IIi | Pathology | 3918 Montclair Rd, Suite 100, Birmingham, AL 35213-2425 | 2005-06-16 |
| 1932102522 | John Craig Romer | Pathology | 2904 Westcorp Blvd Sw, Suite 108, Huntsville, AL 35805-6437 | 2005-05-27 |
| 1447639125 | Edward Hendrik Fulton | Pathology | 3550 Independence Dr, Birmingham, AL 35209 | 2015-05-27 |
| 1376970236 | Skin Pathology Associates, LLC | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2013-10-08 |
| 1972947026 | James William Bush | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2013-04-19 |
| 1962760728 | Gina Elizabeth Johnson | Pathology | 3550 Independence Dr, Birmingham, AL 35209-5710 | 2012-04-30 |
| 1043519838 | Holly Mcintire | Pathology | 3512 Old Montgomery Hwy, Birmingham, AL 35209-5706 | 2011-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN BRK |
| Zip Code | 35213 |
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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.