EDWARD A DIPRETA (NPI# 1689656720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689656720 |
| Entity Type | Individual |
| Full Name | EDWARD A DIPRETA |
| Credential | MD |
| Practice Address |
3008 E Park Ave Brunswick GA 31520-4241 |
| Practice Telephone | 9122652142 |
| Practice Fax Number | 9122650530 |
| Mailing Telephone | 9122652142 |
| Mailing Fax Number | 9122650530 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 052707 | GA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
052707 | GA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
052707 | GA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
052707 | GA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
052707 | GA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
052707 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | DC4061 | 01 |
| GA | 487177354 | 05 | |
| GA | RAILROAD MEDICARE | P00182483 | 01 |
| GA | BCBS (GA DERM) | 52046337012 | 01 |
| GA | BCBS (BWKDERM) | 52046337014 | 01 |
| Street Address |
3008 E PARK AVE |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174912539 | Jacqueline Natasha Rozman | Nurse Practitioner | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2015-01-22 |
| 1013181718 | Chasity Daniel Geiger | Physician Assistant | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2008-04-15 |
| 1952587297 | Edward Dipreta Md PC | Dermatology | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2008-01-17 |
| 1427159946 | Cvp Md PC | Dermatology | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2006-09-26 |
| 1962503037 | Perniciaro Laboratories of Georgia PC | Clinical Medical Laboratory | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1346318144 | Ralph Wade Swann Jr. | Dermatology | 3215 Shrine Road, Brunswick, GA 31520 | 2006-12-01 |
| 1013916410 | Nancy Egan | Dermatology | 14 Maine St, Suite 201, Brunswick, ME 04011-2026 | 2005-07-18 |
| 1023377140 | Mid Coast Dermatology, LLC | Dermatology | 85 Baribeau Dr, Suite 1, Brunswick, ME 04011-3249 | 2012-05-09 |
| 1952587297 | Edward Dipreta Md PC | Dermatology | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2008-01-17 |
| 1952519043 | Jennifer Dawn Bahner | Dermatology | 4065 Center Rd, Ste 214, Brunswick, OH 44212-2918 | 2007-05-20 |
| 1255478541 | Helge G Riemann | Dermatology | 85 Baribeau Dr, Suite #1, Brunswick, ME 04011-3249 | 2007-01-30 |
| 1508920992 | Summit Dermatology & Laser Center, P.C. | Dermatology | 1111 Glynco Pkwy, Bldg 1, Suite 20, Brunswick, GA 31525-7921 | 2006-12-20 |
| 1427159946 | Cvp Md PC | Dermatology | 3008 E Park Ave, Brunswick, GA 31520-4241 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1972142891 | Worldwide Medical Distributor, LLC | Dermatology | 3780 Old Norcross Rd Ste 103, Duluth, GA 30096-1762 | 2019-12-23 |
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1154890564 | Sidney Adele Brown-caggiano | Dermatology | 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135-7542 | 2018-11-14 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1942780994 | Skyn Clinic & Apothecary | Dermatology | 1150 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-1903 | 2018-08-20 |
| 1649750688 | Zola Nemorin | Dermatology | 1500 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-8490 | 2018-08-20 |
| 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.