KEITH ALLEN KNOELL


Address: 2611 W Main St Ste 1, Waynesboro, VA 22980-1600
Phone: 5402216702

KEITH ALLEN KNOELL (NPI# 1396748109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396748109
Entity Type Individual
Full Name KEITH ALLEN KNOELL
Credential M.D.
Practice Address 2611 W Main St Ste 1
Waynesboro
VA 22980-1600
Practice Telephone 5402216702
Practice Fax Number 5402216704
Mailing Telephone 5402216702
Mailing Fax Number 5402216704
Enumeration Date 2005-05-24
Last Update Date 2016-10-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 101058582 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 1396748109 01
VA CIGNA 3910782 01
VA AETNA 5159805 01
VA VIRGINIA HEALTH NETWORK 812009361 01
VA 1902258064 05

Office Location

Street Address 2611 W MAIN ST STE 1
City WAYNESBORO
State VA
Zip Code 22980-1600

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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134558331 South Central Clinics, Inc Dermatology 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 2013-11-07
1356344162 Cynthia Hall Dent Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2005-05-24
1902258064 Valley Dermatology, LLC Dermatology 2611 W Main St, Suite 1, Waynesboro, VA 22980-1600 2016-07-12
1295197309 Olivia Leigh-quach Schenck Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2016-03-28
1114353539 South Central Regional Medical Center Dermatology 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553 2013-09-17
1114066024 Sarah Ann Zeller Dermatology 1151 13th St, Waynesboro, VA 22980-4432 2007-02-06
1073614426 Lynne Mcelroy Wold Dermatology 2014 Goose Creek Rd Ste 116, Waynesboro, VA 22980-6588 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902428709 Clinical Dermatology Center, LLC Dermatology 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 2020-05-14
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1588210330 Brandi M Horner Dermatology 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 2019-08-16
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1356821235 Sdm Virginia LLC Dermatology 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 2018-08-20
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1477077071 Dulles Dermatology Associates, Pllc Dermatology 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 2017-07-26
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Competitor

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City WAYNESBORO
Zip Code 22980

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Dataset Information

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.

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