MARYANNA C TER POORTEN (NPI# 1477539724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477539724 |
| Entity Type | Individual |
| Full Name | MARYANNA C TER POORTEN |
| Credential | MD |
| Practice Address |
335 Penny Ln Concord NC 28025-1221 |
| Practice Telephone | 7047845901 |
| Practice Fax Number | 7047210413 |
| Mailing Telephone | 7047845901 |
| Mailing Fax Number | 7047210413 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2009-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2003-00893 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89134VK | 05 | |
| NC | MEDICARE RAILROAD | P00232695 | 01 |
| Street Address |
335 PENNY LN |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720064116 | William D Hoover | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2005-12-19 |
| 1548647613 | Nathaniel Allen Slater | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2015-04-28 |
| 1982091005 | Matthew Hill Overton | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2015-04-16 |
| 1598197832 | Dhwani S Mehta | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2013-08-08 |
| 1790121689 | Lacey Beth Walls | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2013-05-17 |
| 1891057204 | Sarah Beth Koch | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2012-06-12 |
| 1083891568 | Brian Scott Walther | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2008-01-27 |
| 1104873959 | Aaron Sidscott Wever | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2006-05-27 |
| 1437110772 | Dermatology Group of The Carolinas | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2006-03-28 |
| 1104802008 | Kapil Gupta | Pathology | 335 Penny Ln, Concord, NC 28025-1221 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871579110 | William T Sumner | Dermatology | 335 Penny Ln, Concord, NC 28025-1221 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740747187 | Joyce E. Carter | Dermatology | 1404 Hope Mills Rd, Fayetteville, NC 28304-4219 | 2019-02-21 |
| 1538359708 | Richard H Shereff Md Pa | Dermatology | 139 Hunter Circle, Fayetteville, NC 28304-3408 | 2007-07-25 |
| 1508183286 | Christopher Ryan Urban | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2010-04-21 |
| 1508988742 | Jennifer Marie Defazio | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Moye Medical #2, Greenville, NC 27834-2849 | 2007-04-06 |
| 1497815328 | Wake Dermatology Associates, Pa | Dermatology | 4414 Lake Boone Trl, Ste 408, Raleigh, NC 27607-7513 | 2006-12-11 |
| 1962593509 | Deborah Kessler Hudak | Dermatology | 8311 Bandford Way, Suite 103, Raleigh, NC 27615-2756 | 2006-09-27 |
| 1972567634 | Goldsboro Skin Center Pa | Dermatology | 2613 Hospital Rd, Goldsboro, NC 27534-9424 | 2006-04-12 |
| 1265426571 | Carol Catherine Lekan | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-09-01 |
Please comment or provide details below to improve the information on MARYANNA C TER POORTEN.
| 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.