PINNACLE DERMATOLOGY LLC (NPI# 1316350499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316350499 |
| Entity Type | Organization |
| Organization Name | PINNACLE DERMATOLOGY LLC |
| Practice Address |
536 N Jefferson St Suite 200 Lewisburg WV 24901-1164 |
| Practice Telephone | 3045948871 |
| Mailing Telephone | 3045948871 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | MRS. KRYSTAL D TAWNEY (OWNER) |
| Authorized Official Telephone | 3045948871 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
536 N JEFFERSON ST SUITE 200 |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| 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 |
|---|---|---|---|---|
| 1003870650 | Robert Dale Long | Dermatology | 3 Hospital Dr, Lewisburg, PA 17837 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255677555 | Derm One Pllc | Dermatology | 34 New Hope Rd, Suite 1, Princeton, WV 24740-2354 | 2012-12-14 |
| 1285876011 | Zachary Allen Zinn | Dermatology | 1 Stadium Dr Ste 3, Morgantown, WV 26506-7900 | 2009-03-25 |
| 1902091101 | Virginias Dermatology, Inc. | Dermatology | 1 Country Club Hl, Bluefield, WV 24701-4467 | 2007-09-11 |
| 1972797231 | Appalachian Spring Dermatology, Pllc | Dermatology | 100 Village Dr, Suite 201, Fairmont, WV 26554-7986 | 2007-08-30 |
| 1801910880 | Erik B Hurst | Dermatology | 1000 Sushruta Dr, Martinsburg, WV 25401-8876 | 2007-03-16 |
| 1356415533 | Kenneth F Hardy Jr. | Dermatology | 1311 Pineview Drive, Suite 200, Morgantown, WV 26505 | 2006-11-20 |
| 1114091287 | William Lloyd Hall | Dermatology | 400 Drummond Street, Morgantown, WV 26505-3320 | 2006-11-20 |
| 1679669345 | Allen George Saoud | Dermatology | 170 Thompson Dr Ste 200, Bridgeport, WV 26330-2608 | 2006-10-04 |
| 1588629166 | Stephen Kirby Milroy | Dermatology | 3100 Mccorkle Ave Se, Ste 809, Charleston, WV 25304-1223 | 2006-04-18 |
| 1780648287 | Joseph Corder Woofter | Dermatology | 1110 20 St, Parkersburg, WV 26101-2609 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
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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.