DERMONE OF NORTH CAROLINA PA (NPI# 1245578921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245578921 |
| Entity Type | Organization |
| Organization Name | DERMONE OF NORTH CAROLINA PA |
| Practice Address |
1099 Medical Center Dr Wilmington NC 28401-7346 |
| Mailing Address |
200 Barr Harbor Dr Ste 200 Conshohocken PA 19428-2979 |
| Practice Telephone | 9102519944 |
| Practice Fax Number | 9107634666 |
| Mailing Telephone | 8003376663 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | ALLISON THOMAS (AVP CONTRACTING & PRICING) |
| Authorized Official Telephone | 7328645129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
1099 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550061 | Patricia Bunch Hood | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2006-05-01 |
| 1306312277 | Brianna Wheeler | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2018-10-18 |
| 1063958890 | Sunlight Medical Clinic Pllc | Clinic/Center | 1099 Medical Center Dr, Suite 100-a, Wilmington, NC 28401-7346 | 2017-01-18 |
| 1871043109 | Atlantic Dermatology, Pa | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2016-10-11 |
| 1871951145 | Morgan Davis | Physician Assistant | 1099 Medical Center Dr, Suite 101, Wilmington, NC 28401-7346 | 2016-02-02 |
| 1922494095 | Dana Marie Baigrie | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2015-04-15 |
| 1992020549 | Rebecca Erin Stigall | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2010-04-06 |
| 1265755524 | Joann Kate Jackson | Physician Assistant | 1099 Medical Center Dr, Suite 201, Wilmington, NC 28401-7346 | 2010-03-01 |
| 1417150236 | Coastal Urology Pllc | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7367 | 2007-06-08 |
| 1003848540 | Victor E Abraham | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7353 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1568602969 | Delaware Valley Dermatology Group LLC | Dermatology | 3411 Silverside Rd, Suite 107; Webster Building, Wilmington, DE 19810-4812 | 2009-02-24 |
| 1699883124 | Thomas J Braza | Dermatology | 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8023 | 2006-08-25 |
| 1235197997 | Michael L Saruk | Dermatology | 3411 Silverside Rd, Suite 107; Webster Building, Wilmington, DE 19810-4812 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1528035722 | Marc Ronald Carruth | Dermatology | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-07 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
| 1366086597 | Pc Dermatology Pllc | Dermatology | 118 Gateway Blvd Ste A, Mooresville, NC 28117-6542 | 2019-10-31 |
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| City | WILMINGTON |
| Zip Code | 28401 |
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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.