PRESTON DERMATOLOGY & SKIN SURGERY CENTER PA (NPI# 1508395468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508395468 |
| Entity Type | Organization |
| Organization Name | PRESTON DERMATOLOGY & SKIN SURGERY CENTER PA |
| Practice Address |
1010 High House Rd Ste 202 Cary NC 27513-3576 |
| Mailing Address |
Po Box 16723 Chapel Hill NC 27516-6723 |
| Practice Telephone | 9193889103 |
| Practice Fax Number | 9192340856 |
| Mailing Telephone | 9194422452 |
| Mailing Fax Number | 9199676647 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | SHEEL DESAI SOLOMON (OWNER/OPERATOR) |
| Authorized Official Telephone | 9193889103 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2014-00889 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1010 HIGH HOUSE RD STE 202 |
| City | CARY |
| State | NC |
| Zip Code | 27513-3576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525155 | Erikare At Home | In Home Supportive Care | 1750 Nw Maynard Road, Ste 100, Office 103, Cary, NC 27513 | 2020-07-13 |
| 1811527583 | Octavia Shada Allen | Behavior Technician | 15501 Western Parkway Suite 130, Cary, NC 27513 | 2020-01-22 |
| 1790249605 | Carolyn Ann Berlin | Nurse Practitioner | 3600 Northwest Cary Pkwy. Suite 104, Cary, NC 27513 | 2019-01-24 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1184133894 | Rebekah Lee Crisp | Occupational Therapist | Leagacy Healthcare Services At Searstone, 210 Walker Stone Drive, Cary, NC 27513 | 2017-09-26 |
| 1790203354 | Babies On The Move LLC | Physical Therapist | 100 Cavendish Dr, Cary, NC 27513 | 2017-09-05 |
| 1790157881 | Riccobene & Associates Xii, Dds, P.a. | Clinic/Center | 1203 Nw Maynard Road, Cary, NC 27513 | 2015-10-28 |
| 1508237413 | Riccobene & Associates Xv, Dds, P.a. | Clinic/Center | 1203 Northwest Maynard Road, Cary, NC 27513 | 2015-10-19 |
| 1104293356 | Katherine J Gooding | Audiologist-Hearing Aid Fitter | 301 Maynard Crossing Court, Cary, NC 27513 | 2015-08-24 |
| Find all providers in zip 27513 | ||||
| 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 |
|---|---|---|---|---|
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1386901684 | Amy Lenfestey Gagnon | Dermatology | 110 Preston Executive Dr Ste 108, Cary, NC 27513-8447 | 2012-04-12 |
| 1386810588 | John Milton Soderberg | Dermatology | 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 27519-9637 | 2008-05-07 |
| 1962624478 | Craig Burkhart | Dermatology | 135 Parkway Office Ct Ste 201, Cary, NC 27518-7425 | 2007-05-03 |
| 1982600789 | Robert Earl Clark | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2005-06-27 |
| 1962713867 | Sheel Desai Solomon | Dermatology | 1010 High House Rd, 202, Cary, NC 27513-3576 | 2010-06-24 |
| 1427370352 | Adam Ingraffea | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2010-02-19 |
| 1154302610 | Timothy Corcoran Flynn | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2005-11-10 |
| 1730175365 | Robert B Johnson | Dermatology | 101 Sw Cary Pkwy, Suite 210, Cary, NC 27511-5562 | 2005-09-20 |
| 1528053428 | Heidi Mangelsdorf | Dermatology | 101 Sw Cary Pkwy, Suite 210, Cary, NC 27511-5562 | 2005-09-16 |
| Find all providers in CARY | ||||
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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.