ACACIA DERMATOLOGY (NPI# 1528216314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528216314 |
| Entity Type | Organization |
| Organization Name | ACACIA DERMATOLOGY |
| Practice Address |
2131 N Locust Ave Suite D Lawrenceburg TN 38464-4455 |
| Practice Telephone | 9317626545 |
| Practice Fax Number | 9317626781 |
| Mailing Telephone | 9317626545 |
| Mailing Fax Number | 9317626781 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | ROBERT L CHEN (OWNER) |
| Authorized Official Telephone | 9317626545 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43761 | TN | Other Service Providers |
| Street Address |
2131 N LOCUST AVE SUITE D |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902953722 | Robert Chen | Dermatology | 2131 N Locust Ave, Lawrenceburg, TN 38464-4455 | 2007-01-04 |
| 1720429517 | Timothy Wade Shelton | Nurse Practitioner | 2131 N Locust Ave, Lawrenceburg, TN 38464-4455 | 2013-07-09 |
| 1912270265 | Lori Eve Long | Nurse Practitioner | 2131 N Locust Ave, Lawrenceburg, TN 38464-4455 | 2012-02-17 |
| 1235411257 | Lacey Mouser Mccauley | Physician Assistant | 2131 N Locust Ave, Lawrenceburg, TN 38464-4455 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184881237 | Children's Choice Pediatrics, Pllc | Specialist | 237a E. Taylor Street, Lawrenceburg, TN 38464-4053 | 2008-05-16 |
| 1225206295 | Heather Dallas Joslin | Specialist | 9344 Buttermilk Ridge Rd, Lawrenceburg, TN 38464-5920 | 2008-02-13 |
| 1811067747 | Heart and Vascular Diagnostic Clinic, LLC | Specialist | 1407 N. Locust Avenue, Suite 105, Lawrenceburg, TN 38464 | 2006-11-08 |
| 1609883727 | Bashar Bouso | Specialist | 202 Walnut St, Lawrenceburg, IN 47025 | 2006-08-02 |
| 1700834579 | Lawrenceburg Orthopaedics, PC | Specialist | 1323 S Locust Ave, Lawrenceburg, TN 38464-4040 | 2006-05-04 |
| 1265498810 | The Children's Clinic PC | Specialist | 2121 N Locust Ave, Suite 1, Lawrenceburg, TN 38464-4454 | 2006-04-24 |
| 1780862383 | Leah Nicole Yates-willis | Specialist | 1090 Old Florence Rd, Lawrenceburg, TN 38464 | 2008-02-06 |
| 1386762250 | Kids Care, P.C. | Specialist | 202 Walnut St, Lawrenceburg, IN 47025-1840 | 2007-03-27 |
| 1467500140 | Lawrenceburg Neurology Associates PC | Specialist | 1605 S Locust Ave, Suite 201, Lawrenceburg, TN 38464-4053 | 2007-01-08 |
| 1932289097 | Alma M Maric | Specialist | 98 Elm St, Lawrenceburg, IN 47025-2048 | 2006-10-16 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on ACACIA DERMATOLOGY.
| 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.