STEPHANIE D. MYRACLE (NPI# 1447453402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447453402 |
| Entity Type | Individual |
| Full Name | STEPHANIE D. MYRACLE |
| Other Name | STEPHANIE DIAMANTIS |
| Credential | MD |
| Practice Address |
16 Medical Park Drive Asheville NC 28803 |
| Practice Telephone | 8282744880 |
| Practice Fax Number | 8282746868 |
| Mailing Telephone | 8282744880 |
| Mailing Fax Number | 8282746868 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2007-01974 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2007-01974 | NC | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2007-01974 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5918699 | 05 |
| Street Address |
16 MEDICAL PARK DRIVE |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1831735422 | Melzer and Associates-biltmore-pllc | Dentist | 1 Vanderbilt Park Dr., Ste: 220, Asheville, NC 28803 | 2019-11-19 |
| 1821632183 | Unified Therapies | Social Worker | 145 Charlotte Hwy, Suite 40, Asheville, NC 28803 | 2019-10-30 |
| 1558919969 | Revolution Access Inc | Contractor | 85 Shiloh Road, Unit 50, Asheville, NC 28803 | 2019-08-28 |
| 1427612621 | Anson Bruce Alvis | Student in an Organized Health Care Education/Training Program | Family Medicine, 123 Hendersonville Road, Asheville, NC 28803 | 2019-04-24 |
| 1457837569 | Haley Ellison Ward | Physician Assistant | 3 Walden Ridge Dr Ste 100, Asheville, NC 28803 | 2018-07-12 |
| 1881188233 | Michelle Nicole Fronzaglia | Speech-Language Pathologist | 9 West Summit Ave, Asheville, NC 28803 | 2018-06-19 |
| 1164912515 | Susan Pethel | Physical Therapist | Southeastern Physical Therapy, LLC., 23 Turtle Creek Drive, Asheville, NC 28803 | 2018-05-11 |
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1639672181 | Goldman Medical P.a. | Psychiatry & Neurology | 1516 Kentmere Lane, Asheville, NC 28803 | 2018-03-12 |
| Find all providers in zip 28803 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990700 | Advanced Dermatology and Skin Surgery, Pa | Dermatology | 16 Medical Park Dr, Asheville, NC 28803-2493 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1528035722 | Marc Ronald Carruth | Dermatology | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-07 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| 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.