FAMILY DERMATOLOGY OF ALBEMARLE PLC (NPI# 1215076112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215076112 |
Entity Type | Organization |
Organization Name | FAMILY DERMATOLOGY OF ALBEMARLE PLC |
Practice Address |
215 Wayles Ln Suite 150 Charlottesville VA 22911-4631 |
Practice Telephone | 4349649500 |
Practice Fax Number | 4349649501 |
Mailing Telephone | 4349649500 |
Mailing Fax Number | 4349649501 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. BRETT DOUGLAS KRASNER (OWNER) |
Authorized Official Telephone | 4349649500 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
0101237413 | VA | Allopathic & Osteopathic Physicians |
X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
0101237413 | VA | Allopathic & Osteopathic Physicians |
X | 207ND0900X |
Dermatology Specialization: Dermatopathology |
0101237413 | VA | Allopathic & Osteopathic Physicians |
X | 207N00000X | Dermatology | 0101237413 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS AND BLUE SHIEL | 178139 | 01 |
Street Address |
215 WAYLES LN SUITE 150 |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22911-4631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
Find all providers in zip 22911 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184269714 | Skin Institute of Virginia, Pllc | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2019-11-06 |
1821118613 | Skin PC | Dermatology | 1830 Town Center Dr, Suite 410, Reston, VA 20190-3292 | 2007-03-29 |
City | CHARLOTTESVILLE |
Zip Code | 22911 |
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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.