NUFACE LASER & MEDISPA LLC (NPI# 1184679565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184679565 |
| Entity Type | Organization |
| Organization Name | NUFACE LASER & MEDISPA LLC |
| Practice Address |
117 B Goff Mountain Rd Cross Lanes WV 25313-1434 |
| Mailing Address |
117 B Goff Mountain Rd Cross Lanes WV 25313 |
| Practice Telephone | 3042041310 |
| Practice Fax Number | 3042041311 |
| Mailing Telephone | 3042041310 |
| Mailing Fax Number | 3042041311 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. ARVIND VIRADIA (PRESIDENT) |
| Authorized Official Telephone | 3042041310 |
| 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 |
117 B GOFF MOUNTAIN RD |
| City | CROSS LANES |
| State | WV |
| Zip Code | 25313-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| 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 |
|---|---|---|---|---|
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| 1740251545 | Richard Allen Hawkins | Dermatology | 5003a Venable Ave, Charleston, WV 25304-2042 | 2006-01-30 |
| 1831181304 | Jerry Mitchell Hahn | Dermatology | Rt 50 East, Sunrise Professional Building, Romney, WV 26757 | 2005-08-19 |
| 1497747398 | Hahn Medical Practices, Inc | Dermatology | Rt 50 E, Sunrise Professional Building, Romney, WV 26757 | 2005-08-17 |
| 1427040351 | Hahn Medical Practices, Inc | Dermatology | 325 Main Street, Wardensville, WV 26851 | 2005-08-17 |
| 1083606230 | Hahn Medical Practices, Inc. | Dermatology | 422 S Main St, Moorefield, WV 26836-1238 | 2005-08-15 |
| 1154411908 | Amy A Vaughan Dermatology Pllc | Dermatology | 6007 Us Rt 60 East, Suite 130, Barboursville, WV 25504 | 2006-10-13 |
| 1972560753 | Hahn Medical Practices, Inc | Dermatology | 22347 Northwestern Pike, East Sunrise Professional Building, Romney, WV 26757-6343 | 2006-04-27 |
| 1720089279 | Beckley Dermatology Inc. | Dermatology | 94 Brookshire Lane, Beckley, WV 25801-6765 | 2005-08-09 |
| City | CROSS LANES |
| Zip Code | 25313 |
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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.