ASSOCIATES & AFFILIATES IN DERMATOLOGY LLC (NPI# 1548739246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548739246 |
| Entity Type | Organization |
| Organization Name | ASSOCIATES & AFFILIATES IN DERMATOLOGY LLC |
| Practice Address |
5210 Webb Rd Ste B Tampa FL 33615-4518 |
| Practice Telephone | 8133411475 |
| Practice Fax Number | 8138855015 |
| Mailing Telephone | 8133411475 |
| Mailing Fax Number | 8138855015 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | DR. PANAYIOTIS VASILOUDES (PRESIDENT/CEO) |
| Authorized Official Telephone | 8133411475 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
5210 WEBB RD STE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1578603767 | Shurun Zhao | Dermatology | 4431 Waltham Dr, Tampa, FL 33634-7345 | 2007-02-07 |
| 1194735688 | Rachel E Careccia | Dermatology | 12500 N Dale Mabry Hwy Ste D, Tampa, FL 33618 | 2006-08-08 |
| 1023033719 | Henry E Wiley IIi | Dermatology | 1425 S Howard Ave, Tampa, FL 33606-3126 | 2006-07-13 |
| 1437138443 | Ruth H Hanno | Dermatology | 10500 University Center Dr Ste 200, Tampa, FL 33612-6497 | 2006-01-10 |
| 1376529206 | Susan E Lenahan | Dermatology | 4412 W Osborne Ave, Tampa, FL 33614-6963 | 2005-12-22 |
| 1902895832 | John Louis Millns Jr. | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2005-10-13 |
| 1093061582 | Florida Dermatology and Skin Cancer Specialists Pl | Dermatology | 4200 N Armenia Ave, Ste 1, Tampa, FL 33607-6438 | 2012-08-02 |
| 1154519767 | Henry E Wiley IIi Md Pa | Dermatology | 1425 S Howard Ave, Tampa, FL 33606-3126 | 2007-10-09 |
| 1649284563 | John L Millns Md Pa | Dermatology | 6001 Memorial Hwy, Tampa, FL 33615-4531 | 2006-07-28 |
| Find all providers in TAMPA | ||||
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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.