DERM ONE PLLC (NPI# 1255677555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255677555 |
| Entity Type | Organization |
| Organization Name | DERM ONE PLLC |
| Practice Address |
34 New Hope Rd Suite 1 Princeton WV 24740-2354 |
| Practice Telephone | 3044259448 |
| Practice Fax Number | 3044312589 |
| Mailing Telephone | 3044259448 |
| Mailing Fax Number | 3044312589 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |
| Authorized Official Name | DR. DAVID L TOLLIVER (PRESIDENT) |
| Authorized Official Telephone | 2763263376 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Derm One PLLC | 725 South College Ave, Bluefield, Virginia 24605 |
| Street Address |
34 NEW HOPE RD SUITE 1 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| 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 |
|---|---|---|---|---|
| 1942301528 | Bruce Jay Berger | Dermatology | 278 Franklin Ave, Princeton, NJ 08540 | 2006-09-26 |
| 1275575094 | The Princeton Center for Dermatology, LLC | Dermatology | 800 Bunn Dr, Suite 201, Princeton, NJ 08540-1968 | 2006-06-13 |
| 1841371507 | Steven Kazenoff | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1891876496 | Darlene J Kwee | Dermatology | 419 N Harrison St, Suite 201, Princeton, NJ 08540-3521 | 2006-10-18 |
| 1063513679 | Princeton Medical Group,p.a. | Dermatology | 419 N Harrison St, Suite 203, Princeton, NJ 08540-3521 | 2006-09-26 |
| 1235195157 | Martha E Funkhouser | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-21 |
| 1548225477 | Rachel M Grossman | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-20 |
| 1336104561 | Princeton Dermatology Associatespc | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-19 |
| 1740245539 | Roderick T Kaufmann Jr. | Dermatology | 208 Bunn Dr, Princeton, NJ 08540-2851 | 2006-04-18 |
| 1588644017 | Sola Choi | Dermatology | 419 N Harrison St, Princeton, NJ 08540-3521 | 2006-01-19 |
| Find all providers in PRINCETON | ||||
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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.