SKIN WELLNESS DERMATOLOGY ASSOCIATES, PA (NPI# 1467832881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467832881 |
| Entity Type | Organization |
| Organization Name | SKIN WELLNESS DERMATOLOGY ASSOCIATES, PA |
| Practice Address |
245 East Nc Highway 54 Ste 202 Durham NC 27713-2150 |
| Mailing Address |
245 East Nc Hwy 54 Suite 202 Durham NC 27713-2150 |
| Practice Telephone | 9192949440 |
| Practice Fax Number | 9192373899 |
| Mailing Telephone | 9192949440 |
| Mailing Fax Number | 9192373899 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | DR. BROOKE A JACKSON (PRESIDENT-OWNER) |
| Authorized Official Telephone | 9192949440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2013-00616 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
245 EAST NC HIGHWAY 54 STE 202 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| 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 |
|---|---|---|---|---|
| 1073172433 | Elaine Otchere | Dermatology | M145 Green Zone Duke South 40 Duke Medicine Circle, Durham, NC 27710-8267 | 2019-06-10 |
| 1588077499 | Amber Ingram Fresco | Dermatology | 40 Duke Medicine Circle, Clinic 3k, Durham, NC 27710 | 2014-06-09 |
| 1407021165 | Adela Rambi Guanco Cardones | Dermatology | Dumc 3822, Durham, NC 27710 | 2008-04-24 |
| 1952592149 | Sarah Ann Wolfe | Dermatology | Duke Univ Med Center Dermatology Dept, Room 3385, Orange Zone, Duke South, Box 3643, Durham, NC 27710-0001 | 2007-08-05 |
| 1093887960 | Brooke A Jackson | Dermatology | 245 E Nc Highway 54, Suite 202, Durham, NC 27713-2551 | 2006-11-15 |
| 1023195930 | John F Carr | Dermatology | 4012 Colville Rd, Durham, NC 27707-5084 | 2006-11-01 |
| 1205923042 | Russell Pritchett Hall IIi | Dermatology | 200 Trent Drive, Duke University Medical Center, Durham, NC 27715-3135 | 2006-10-05 |
| 1306947148 | Navjeet Kaur Sidhu-malik | Dermatology | 3385 Trent Dr, Dumc 3643, Durham, NC 27710-0001 | 2006-09-26 |
| 1942237094 | Garrett Schell Bressler | Dermatology | 1920 Front St, Durham, NC 27705 | 2006-06-26 |
| 1043256258 | John Carroll Murray | Dermatology | Box 2907 Div Derm Duke Univ Med Center, Durham, NC 27710-0001 | 2006-06-22 |
| Find all providers in DURHAM | ||||
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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.