VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC (NPI# 1396774667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774667 |
| Entity Type | Organization |
| Organization Name | VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC |
| Practice Address |
9724 Bay Point Dr Norfolk VA 23518-2013 |
| Mailing Address |
241 Corporate Blvd Suite 215 Norfolk VA 23502-4954 |
| Practice Telephone | 7574047725 |
| Practice Fax Number | 7573623577 |
| Mailing Telephone | 7574555009 |
| Mailing Fax Number | 7573623577 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN L. JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 7574555009 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
0101042937 | VA | Ambulatory Health Care Facilities |
| Street Address |
9724 BAY POINT DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23518-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339032 | Danielle Johnson | Student in an Organized Health Care Education/Training Program | 9724 Bay Point Dr, Norfolk, VA 23518-2013 | 2019-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767793 | Warminster Place LLC | Public Health or Welfare | 7020 Old Mill Road, Norfolk, VA 23518 | 2020-10-11 |
| 1265907034 | Kare for All LLC | Home Health Aide | 1216 East Little Rd, Suite 200d, Norfolk, VA 23518 | 2018-10-09 |
| 1962986331 | Trinity Home Health Services, Inc | Home Health | 1301 E. Little Creek Rd #7, Norfolk, VA 23518 | 2018-09-20 |
| 1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
| 1841744752 | Syreeta Chance | Social Worker | 1500 East Little Creek Rd., Norfolk, VA 23518 | 2016-08-09 |
| 1326490004 | Elizabeth Jeanne Polinsky | Social Worker | The Relationship Center, Attn: Elizabeth Polinsky, Lcsw, 4615 Pleasant Ave., Suite B, Norfolk, VA 23518 | 2016-07-06 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1992054217 | Kimberly Ann Dupra | Licensed Practical Nurse | 1354 Elk Avenue, Norfolk, VA 23518 | 2012-08-31 |
| 1689963712 | Sarah Dawn Elaine Penston | Counselor | 8227 Old Ocean View Rd, Norfolk, VA 23518 | 2011-03-29 |
| 1821239690 | Elizabeth Dalton | Student in an Organized Health Care Education/Training Program | 3802 Heutte Dr., Norfolk, VA 23518 | 2009-03-09 |
| Find all providers in zip 23518 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245963 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2018-05-10 |
| 1457740458 | Rbh Md LLC | Clinic/Center | 6160 Kempsville Cir, Suite 102-a, Norfolk, VA 23502-3933 | 2015-01-13 |
| 1891914602 | Roger W. Nutt, M.d.,p.c. | Clinic/Center | 710 S 13th St, Suite 1200, Norfolk, NE 68701-5792 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056941 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1306308382 | Jae Kim, Md Plc | Clinic/Center | 10721 Main St Ste 205, Fairfax, VA 22030-6902 | 2019-04-01 |
| 1861989105 | Lgn Weight Loss, LLC | Clinic/Center | 1114 E Main St Ste 6, Lebanon, VA 24266-5014 | 2018-04-20 |
| 1346746484 | Flex Massage Therapy, Inc | Clinic/Center | 700 Baker Rd Ste 115, Virginia Beach, VA 23462-1034 | 2018-04-05 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
| 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.