EASTERN DERMATOLOGY, PA (NPI# 1306058672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306058672 |
| Entity Type | Organization |
| Organization Name | EASTERN DERMATOLOGY, PA |
| Practice Address |
941 Newman Rd New Bern NC 28562-5252 |
| Mailing Address |
420 Spring Forest Rd Greenville NC 27834-7244 |
| Practice Telephone | 2526342885 |
| Practice Fax Number | 2526342887 |
| Mailing Telephone | 2527524124 |
| Mailing Fax Number | 2527588954 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | DR. CAMERON LANGLEY SMITH (PRESIDENT) |
| Authorized Official Telephone | 2527524124 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC GROUP NUMBER | 01498 | 01 |
| NC | 5902488 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356576417 | Eastern Dermatology, Pa | Dermatology | 4251 Arendell St, Suite A, Morehead City, NC 28557-2805 | 2009-05-19 |
| Street Address |
941 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166960 | Michael Carlyle Casciello | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2005-10-03 |
| 1154868982 | Charlotte Lane | Registered Nurse | 941 Newman Rd, New Bern, NC 28562-5252 | 2017-01-31 |
| 1477992501 | Coastal Carolina Health Care Pa | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2013-06-21 |
| 1306040050 | Todd Brandon Nelson | Dermatology | 941 Newman Rd, New Bern, NC 28562-5252 | 2007-06-14 |
| 1467522714 | John T Riggs | Physician Assistant | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-11-08 |
| 1568471555 | Christopher B Mizelle | Dermatology | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-08-07 |
| 1841247442 | Aleta Lynn Sloan | Physician Assistant | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-05-28 |
| 1891741013 | David Clark Oliver | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-05-26 |
| 1710931712 | Andrew Arthur Win | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-05-22 |
| 1669451233 | Frederick A Dressler | Internal Medicine | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-01-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| 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 |
|---|---|---|---|---|
| 1104898717 | Sean James Murphy | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-02-07 |
| 1174507990 | Kenneth L Klein | Dermatology | 600 Mccarthy Blvd, New Bern, NC 28562 | 2005-12-05 |
| 1669468203 | Peter Paul Greco | Dermatology | 1425 S Glenburnie Rd, Suite 3, New Bern, NC 28562-2610 | 2005-09-20 |
| 1235383738 | Kenneth Klein | Dermatology | 600 Mccarthy Blvd, New Bern, NC 28562-5231 | 2008-11-11 |
| 1184894842 | Peter P Greco Md | Dermatology | 1425 S Glenburnie Rd, Suite 3, New Bern, NC 28562-2610 | 2008-03-08 |
| 1306040050 | Todd Brandon Nelson | Dermatology | 941 Newman Rd, New Bern, NC 28562-5252 | 2007-06-14 |
| 1568471555 | Christopher B Mizelle | Dermatology | 941 Newman Rd, New Bern, NC 28562-5252 | 2006-08-07 |
| 1093731168 | James M Polo | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1316556871 | Easterm Dermatology, Pa | Dermatology | 1840 Nc Hwy 24, Newport, NC 28570 | 2020-07-30 |
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 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 |
| 1073172433 | Elaine Otchere | Dermatology | M145 Green Zone Duke South 40 Duke Medicine Circle, Durham, NC 27710-8267 | 2019-06-10 |
| 1902469570 | Falling Leaves Dermatology Mooresville LLC | Dermatology | 136 Corporate Park Dr Ste H, Mooresville, NC 28117-6960 | 2019-04-18 |
| 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 |
| 1558848093 | Dermatology Consultants of Asheville Pllc | Dermatology | 218 Elkwood Ave # 104, Woodfin, NC 28804-2247 | 2018-07-27 |
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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.