DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A. (NPI# 1336448836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336448836 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A. |
| Practice Address |
101 Professional Ln Enterprise AL 36330-2085 |
| Mailing Address |
1900 Harrison Ave Panama City FL 32405-4542 |
| Practice Telephone | 3343473404 |
| Practice Fax Number | 3346710344 |
| Mailing Telephone | 8507691668 |
| Mailing Fax Number | 8507852123 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | DR. ROBERT JOHN SIRAGUSA (PRESIDENT) |
| Authorized Official Telephone | 8507691668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | CB7612 | 01 |
| FL | 000164600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437444817 | Dermatology Associates of Bay County, P.a. | Dermatology | 3025 6th St, Marianna, FL 32446-1930 | 2011-06-14 |
| 1235438748 | Dermatology Associates of Bay County, P.a. | Dermatology | 2431 W Main St, Suite 501, Dothan, AL 36301-1217 | 2011-03-23 |
| 1053610550 | Dermatology Associates of Bay County, P.a. | Dermatology | 12234 Panama City Beach Pkwy, Suite D, Panama City Beach, FL 32407-2725 | 2011-03-23 |
| 1215904404 | Dermatology Associates of Bay County, P.a. | Dermatology | 1900 Harrison Ave, Panama City, FL 32405-4542 | 2006-03-07 |
| Street Address |
101 PROFESSIONAL LN |
| City | ENTERPRISE |
| State | AL |
| Zip Code | 36330-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049863 | Maria Aurora Canlas Sucgang | Pediatrics | 101 Professional Ln, Enterprise, AL 36330-2085 | 2005-11-11 |
| 1609385293 | Whitni Michael Richard | Family Medicine | 101 Professional Ln, Enterprise, AL 36330-2085 | 2017-09-26 |
| 1285028928 | Jessica Jill Dunn | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2015-03-19 |
| 1922430602 | Carey Lauren Holloway Douglas | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2013-08-05 |
| 1134469620 | Amber Amuso Williams | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2013-02-21 |
| 1134487580 | Mary Leona Walch Pippin | Family Medicine | 101 Professional Ln, Enterprise, AL 36330-2085 | 2012-04-23 |
| 1043500465 | Julie Frances Hughes | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2011-04-19 |
| 1538465323 | Dermatology Associates of Dothan, LLC | Specialist | 101 Professional Ln, Enterprise, AL 36330-2085 | 2011-01-27 |
| 1871893883 | Lucianne H Wiggins | Nurse Practitioner | 101 Professional Ln, Enterprise, AL 36330-2085 | 2010-10-25 |
| 1801020029 | Jamie Bludsworth Jones | Internal Medicine | 101 Professional Ln, Enterprise, AL 36330-2085 | 2009-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
| 1134759640 | Benjamin Chase Marler | Student in an Organized Health Care Education/Training Program | 205 Somerset Pl, Enterprise, AL 36330 | 2020-01-23 |
| 1033694492 | Angel Melton | Counselor | 105 Searcy St, Enterprise, AL 36330 | 2018-10-01 |
| 1285180729 | Enterprise Urgent Care | Clinic/Center | 6582 Boll Weevil Circle, Enterprise, AL 36330 | 2016-08-25 |
| 1902204258 | Nikki Chen | Nurse Practitioner | 805 East Lee Street, Ste C, Enterprise, AL 36330 | 2014-12-17 |
| 1568795417 | Crystal Juanita Christian | Counselor | 1275 James Drive, Suite A Enterprise Behavioral Services, Enterprise, AL 36330 | 2009-09-10 |
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1184892978 | Phillip Allen Fuller | Pulmonary Function Technologist | 130e.pondella Dr., Enterprise, AL 36330 | 2008-02-14 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1871646547 | Thomas Orson Patterson | Dentist | 306 South Edwards Street, Enterprise, AL 36330 | 2007-01-18 |
| Find all providers in zip 36330 | ||||
| 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 |
|---|---|---|---|---|
| 1043851249 | Pure Skin Dermatology & Oncology, Inc | Dermatology | 12205 County Line Rd Ste D, Madison, AL 35758-7720 | 2019-09-30 |
| 1457824781 | Emily Claire Jones | Dermatology | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2019-01-09 |
| 1689141822 | Magnolia Springs Skin & Wellness Center PC LLC | Dermatology | 12440 Magnolia Springs Hwy Ste 200, Magnolia Springs, AL 36555-6422 | 2018-10-25 |
| 1982133633 | Edward Chen | Dermatology | 500 22nd St S Ste 3500, Birmingham, AL 35233 | 2017-06-07 |
| 1366970253 | Robert J. Bentley LLC | Dermatology | 900 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-5848 | 2017-05-23 |
| 1689028029 | Katelyn Zimmer | Dermatology | 8331 Madison Blvd Ste 300, Madison, AL 35758-2073 | 2016-04-22 |
| 1770945719 | Helyn Alvarez | Dermatology | 510 20th St S Ste 858, Birmingham, AL 35233-2028 | 2016-03-28 |
| 1003290578 | Alan C Turnham, M.d.,p.a. | Dermatology | 2571 Ross Clark Cir, Dothan, AL 36301-4912 | 2015-07-15 |
| 1891179727 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 6701 Airport Blvd Ste D232, Mobile, AL 36608-6757 | 2015-07-09 |
| 1891113304 | Christopher Alan English | Dermatology | Eye Foundation Hospital 414 1720 2nd Ave S, Birmingham, AL 35294-0009 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
| City | ENTERPRISE |
| Zip Code | 36330 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
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