CAHABA DERMATOLOGY & SKIN HEALTH CENTER, LLC (NPI# 1619213204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619213204 |
| Entity Type | Organization |
| Organization Name | CAHABA DERMATOLOGY & SKIN HEALTH CENTER, LLC |
| Practice Address |
2290 Valleydale Rd Suite 204 Hoover AL 35244-2011 |
| Practice Telephone | 2055383789 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | DR. VLADA GROYSMAN (PHYSICIAN) |
| Authorized Official Telephone | 2055383789 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
28104 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2290 VALLEYDALE RD SUITE 204 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255545455 | Vlada Groysman | Dermatology | 2290 Valleydale Rd, Ste 204, Hoover, AL 35244-2011 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1174502827 | Molly B Bouldin | Dermatology | 521 Montgomery Hwy, Suite 117, Birmingham, AL 35216-1878 | 2006-01-11 |
| 1720088743 | Jean P Donahue | Dermatology | 4330 Highway 78 E, Suite 105, Jasper, AL 35501-8905 | 2005-08-01 |
| 1356508352 | Eugen Stancut | Dermatology | 2100 16th Ave S, Ste 202, Birmingham, AL 35205-5067 | 2008-05-19 |
| 1801072673 | R Rex Payne M D P C | Dermatology | 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235-3400 | 2008-01-11 |
| 1063603249 | Ashley Wolchina Allison | Dermatology | 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 | 2007-08-05 |
| 1164646238 | Charles Andrew Parrish | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-04-12 |
| 1134264872 | R Rex Payne | Dermatology | 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235-3400 | 2007-02-20 |
| 1568519445 | Stephen E. Mason | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2007-01-04 |
| 1134157597 | Michael Keith Jacobs | Dermatology | 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 | 2006-06-28 |
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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.