DR. ELIZABETH FAIRCLOTH ROSTAN (NPI# 1265522239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265522239 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH FAIRCLOTH ROSTAN |
| Credential | M.D. |
| Practice Address |
130 Providence Rd Ste 100 Charlotte NC 28207-1242 |
| Practice Telephone | 7043339113 |
| Practice Fax Number | 7043339757 |
| Mailing Telephone | 7043339113 |
| Mailing Fax Number | 7043339757 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 9700237 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
130 PROVIDENCE RD STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326514787 | Chrystell Laura Cluck | Physician Assistant | 130 Providence Rd Ste 100, Charlotte, NC 28207-1247 | 2018-10-23 |
| 1891036059 | Diana Tong Roetting | Physician Assistant | 130 Providence Rd Ste 100, Charlotte, NC 28207-1242 | 2013-03-12 |
| 1538229737 | Charlotte Skin & Laser, P.a. | Specialist | 130 Providence Rd Ste 100, Charlotte, NC 28207-1242 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| 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 |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
| 1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
| 1770004376 | Laurel Castano | Dermatology | 10370 Park Rd Ste 201, Charlotte, NC 28210-8509 | 2017-07-05 |
| 1154732386 | Eileen Larkin Axibal | Dermatology | 15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760 | 2014-05-09 |
| 1013233352 | Alyssa Searles Daniel | Dermatology | 6324 Fairview Rd Ste 200, Charlotte, NC 28210-3361 | 2010-04-12 |
| 1538483078 | Scott Paviol | Dermatology | 2620 E 7th St Ste 200, Charlotte, NC 28204-4314 | 2010-03-25 |
| 1215050646 | Todd Helfman Md, Pa | Dermatology | 9335 Blakeney Centre Drive, Suite 130, Charlotte, NC 28277 | 2007-04-09 |
| 1346398435 | Novant Medical Group, Inc | Dermatology | 108 Providence Rd, Charlotte, NC 28207-1218 | 2007-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.