CAMPEN DERMATOLOGY, LLC (NPI# 1336463876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336463876 |
| Entity Type | Organization |
| Organization Name | CAMPEN DERMATOLOGY, LLC |
| Practice Address |
5102 Paulsen St Bldg. 4 Savannah GA 31405-4601 |
| Practice Telephone | 9123563604 |
| Practice Fax Number | 9123565801 |
| Mailing Telephone | 9123563604 |
| Mailing Fax Number | 9123565801 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | MRS. SAMANTHA ANNE MASCUNANA (OFFICE MANAGER) |
| Authorized Official Telephone | 9123563604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 031202 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5102 PAULSEN ST BLDG. 4 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732376 | Monica B Manocha | Pediatrics | 5102 Paulsen St, Building 3, Savannah, GA 31405-4601 | 2005-10-04 |
| 1124401591 | Savannah Surgery Center, LLC | Surgery | 5102 Paulsen St, Bldg 2, Savannah, GA 31405-4601 | 2015-07-03 |
| 1124462403 | Matthew G Marshall | Psychiatry & Neurology | 5102 Paulsen St, Savannah, GA 31405 | 2013-04-17 |
| 1336380658 | Campen Eye Care LLC | Ophthalmology | 5102 Paulsen St, Building 4, Savannah, GA 31405-4601 | 2009-03-17 |
| 1255459996 | Michele Elizabeth Reardon | Dietitian, Registered | 5102 Paulsen St, Savannah, GA 31405-4601 | 2007-03-27 |
| 1104956184 | Savannah Surgery Center, LLP | Specialist | 5102 Paulsen St, Building 2, Savannah, GA 31405-4601 | 2007-03-07 |
| 1558429332 | Savannah Pediatrics, P.C. | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-05 |
| 1508924663 | Bernard M Portman | Pediatrics | 5102 Paulsen St, Savannah, GA 31405-4601 | 2006-12-04 |
| 1023086899 | Rebecca B Campen | Dermatology | 5102 Paulsen St, Bldg 4, Savannah, GA 31405-4601 | 2006-03-09 |
| 1528033347 | Susan B Daly | Pediatrics | 5102 Paulsen St, Bldg. 3, Savannah, GA 31405-4601 | 2006-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1215257241 | Low Country Dermatology LLC | Dermatology | 310 Eisenhower Dr Building 12 Suite A, Savannah, GA 31406-2632 | 2010-06-01 |
| 1083828024 | Rtr Medical Group LLC | Dermatology | 11700-3 Mercy Blvd, Savannah, GA 31419 | 2007-05-09 |
| 1003954181 | Philip Z. Mcnaughton | Dermatology | 7805 Waters Ave Ste 9a, Savannah, GA 31406-2445 | 2007-02-02 |
| 1669567590 | Claudia Nadine Gaughf | Dermatology | 639 Stephenson Ave., A, Savannah, GA 31405-5970 | 2006-10-04 |
| 1952392409 | Corinne Meek Howington | Dermatology | 310 Eisenhower Dr Ste 12a, Savannah, GA 31406-2632 | 2005-11-03 |
| 1407272511 | Chatham Dermatology LLC | Dermatology | 820 E 67th St, Savannah, GA 31405-4611 | 2014-03-13 |
| 1962658963 | Jodi-ann Camille Moore | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2008-08-11 |
| 1831382811 | Richard Lee Parker IIi | Dermatology | 900 Mohawk Street, Ste E., Savannah, GA 31419 | 2007-08-22 |
| 1730393455 | Coastal Dermatology | Dermatology | 400 Commercial Ct, Savannah, GA 31406-3648 | 2007-05-10 |
| 1285724351 | Adam Scott Pritzker | Dermatology | 712 E 70th St, Savannah, GA 31405-4811 | 2006-10-12 |
| Find all providers in SAVANNAH | ||||
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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.