DERMATOLOGY & SKIN SURGERY CLINIC (NPI# 1639264401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639264401 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY & SKIN SURGERY CLINIC |
| Practice Address |
110 Medical Center Dr Paducah KY 42003-7909 |
| Practice Telephone | 2704432471 |
| Practice Fax Number | 2704435808 |
| Mailing Telephone | 2704432471 |
| Mailing Fax Number | 2704435808 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | MS. JEANNIE HUGHES (OFFICE MANAGER) |
| Authorized Official Telephone | 2704432471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
110 MEDICAL CENTER DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-7909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033154711 | Gary Lee Mcmillan | Legal Medicine | 110 Medical Center Dr, Paducah, KY 42003-7909 | 2006-06-18 |
| 1780002899 | Gretchen Mccabe | Nurse Practitioner | 110 Medical Center Dr, Paducah, KY 42003-7909 | 2014-04-04 |
| 1710916176 | Jeffrey Don Case | Legal Medicine | 110 Medical Center Dr, Paducah, KY 42003-7909 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1881740884 | Bluegrass Dermatology, Pllc | Dermatology | 4616 Village Square Drive, Paducah, KY 42001-7501 | 2007-01-25 |
| 1982643797 | Evelyn Montgomery Jones | Dermatology | 2721 W Park Dr, Paducah, KY 42001-9058 | 2006-06-06 |
| 1134108178 | James Michael Giannini | Dermatology | 2138 Broadway St, Paducah, KY 42001-7110 | 2006-01-10 |
| 1396747846 | Halden H Ford | Dermatology | 3101 Parisa Dr, Paducah, KY 42003 | 2005-08-15 |
| 1326340886 | J Michael Giannini Psc | Dermatology | 2138 Broadway St, Paducah, KY 42001-7110 | 2010-12-03 |
| 1831242551 | Paducah Dermatology Pllc | Dermatology | 3101 Parisa Dr, Paducah, KY 42003 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423742 | Virginia Nell Kartha | Dermatology | 3810 Springhurst Blvd Ste 20, Louisville, KY 40241-6162 | 2015-04-01 |
| 1053757641 | Chase Landon Wilson | Dermatology | 304 Boston Sq, Georgetown, KY 40324-9786 | 2013-05-22 |
| 1316206584 | Carol B Thompson | Dermatology | 3475 Richmond Rd Ste 200, Lexington, KY 40509-2500 | 2012-05-09 |
| 1851665038 | Shannon England | Dermatology | 13802 Lake Point Cir, #102, Louisville, KY 40223-4219 | 2012-03-06 |
| 1659640878 | George J. Gataky, P.s.c. | Dermatology | 3 Audubon Plaza Dr Ste 630, Louisville, KY 40217-1362 | 2011-12-16 |
| 1811285117 | Dermatology Associates of Pikeville, Pllc | Dermatology | 1098 S Mayo Trl Ste 211, Pikeville, KY 41501-1574 | 2011-07-20 |
| 1770806424 | Kentucky Dermatology Clinic, Pllc | Dermatology | 120 State Ave, Glasgow, KY 42141-1451 | 2010-03-09 |
| 1629243860 | J David Outland, M.d. | Dermatology | 300 S 8th St Ste 405e, Murray, KY 42071-2444 | 2008-04-29 |
| 1659542058 | Ky Dermatology & Skin Cancer | Dermatology | 1750 Highway 192 W, London, KY 40741-2639 | 2008-03-13 |
| 1609047083 | Bowling Green Dermatology & Skin Cancer Specialists Pllc | Dermatology | 1106 Fairway Street, Bowling Green, KY 42103 | 2008-03-13 |
| Find all providers with the same taxonomy | ||||
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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.