DERMATOLOGY ASSOCIATES OF ROANOKE P C (NPI# 1174617187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174617187 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF ROANOKE P C |
| Practice Address |
1215 3rd St Sw Roanoke VA 24016-4611 |
| Practice Telephone | 5409811439 |
| Practice Fax Number | 5403455446 |
| Mailing Telephone | 5409811439 |
| Mailing Fax Number | 5403455446 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL C TIMMERMANN (M.D.) |
| Authorized Official Telephone | 5409811439 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
1215 3RD ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241086 | Maria R Soriano | Pediatrics | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2005-11-10 |
| 1548706286 | Megan Carter | Physician Assistant | 1215 3rd St Sw, Roanoke, VA 24016 | 2017-01-18 |
| 1952774358 | Kuumba Community Health and Wellness Center Inc | Clinic/Center | 1215 3rd St Sw, Suite A, Roanoke, VA 24016-4611 | 2015-11-06 |
| 1356717136 | Anna Cameron | Social Worker | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2015-08-17 |
| 1134536832 | Dermatology Associates of Roanoke | Specialist | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2014-07-15 |
| 1710187547 | Elizabeth Kaufman Mcnamara | Dermatology | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2007-07-19 |
| 1821035072 | Paul C Timmermann | Specialist | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2006-05-31 |
| 1457308371 | Susan B Dorsey | Specialist | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| 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 |
|---|---|---|---|---|
| 1225343262 | Mary Francis Hunter | Dermatology | 100 2nd St Nw, Charlottesville, VA 22902-5193 | 2010-08-14 |
| 1932426418 | Patricia Lucey | Dermatology | 8100 Boone Blvd, Suite 300, Vienna, VA 22182-4621 | 2010-04-23 |
| 1265635114 | Bridget M Bryer | Dermatology | 215 Wayles Ln Ste 150, Charlottesville, VA 22911-4631 | 2007-06-07 |
| 1053407452 | Theresa Conologue | Dermatology | 1101 Sam Perry Blvd Ste 121, Fredericksburg, VA 22401-4465 | 2006-10-04 |
| 1083708655 | Hoang Nguyen Pham | Dermatology | 4326 Evergreen Lane, Suite A, Annandale, VA 22003 | 2006-10-03 |
| 1407867500 | Chauncey A. Mchargue | Dermatology | 1100 Sunset Ln, Suite 1212, Culpeper, VA 22701-3307 | 2006-08-11 |
| 1922049006 | Center for Skin Surgery Pllc | Dermatology | 8301 Old Court House Rd, Vienna, VA 22182 | 2006-06-09 |
| 1952387060 | Martin S Horn | Dermatology | 10721 Main Street, Suite 3100, Fairfax, VA 22030-6906 | 2005-12-20 |
| 1922005537 | Linda Park Nims | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2005-06-29 |
| 1023550654 | James River Dermatology Pllc | Dermatology | 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111 | 2016-11-14 |
| Find all providers with the same taxonomy | ||||
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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.