JOHN PEELER SURRATT (NPI# 1548234735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548234735 |
| Entity Type | Individual |
| Full Name | JOHN PEELER SURRATT |
| Credential | MD |
| Practice Address |
804 Coharie Dr Clinton NC 28328-3022 |
| Practice Telephone | 9105925583 |
| Practice Fax Number | 9105927310 |
| Mailing Telephone | 9105925583 |
| Mailing Fax Number | 9105927310 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17444 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 81010 | 01 |
| NC | 8981010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639368939 | John Kilpatrick Surratt | Radiology | 4600 Braeburn Dr, Bellaire, TX 77401-5502 | 2007-10-23 |
| Street Address |
804 COHARIE DR |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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 |
|---|---|---|---|---|
| 1457728883 | Integrated Dermatology of Clinton,llc | Dermatology | 8 E Main St Ste 101, Clinton, CT 06413-2058 | 2015-09-02 |
| 1265636708 | Iowa Dermatology Institute, P.C. | Dermatology | 2315 Roosevelt St, Clinton, IA 52732-2412 | 2007-06-11 |
| 1356441109 | Surinder K. Arora | Dermatology | 9113 Brandywine Rd, Suite 101, Clinton, MD 20735-2551 | 2006-09-22 |
| 1659390797 | Ellen A Markstein | Dermatology | 8 East Main Street, Suite 101, Clinton, CT 06413-2058 | 2006-07-19 |
| 1841645470 | Magnolia Dermatology, Pllc | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2016-05-02 |
| 1225390719 | Patrick Lynn Boler | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2012-06-12 |
| 1144404898 | Christin Collier Hurt | Dermatology | 815 Highway 80 E, Clinton, MS 39056-5252 | 2007-12-18 |
| 1568656999 | Robert G German Md PC | Dermatology | 2315 Roosevelt St, Clinton, IA 52732-2412 | 2007-08-29 |
| 1417018375 | David A. Spott, M.d., P.a. | Dermatology | 9131 Piscataway Rd, Suite 550, Clinton, MD 20735-2508 | 2006-12-13 |
| 1467466284 | Sharon Henrietta Barrett | Dermatology | 8 East Main Street, Suite 101, Clinton, CT 06413-2058 | 2006-07-28 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on JOHN PEELER SURRATT.
| 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.