STEPHEN E ROSTAN (NPI# 1710081294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710081294 |
| Entity Type | Individual |
| Full Name | STEPHEN E ROSTAN |
| Credential | MD |
| Practice Address |
205 Page Rd Pinehurst NC 28374-8749 |
| Practice Telephone | 9102955511 |
| Practice Fax Number | 9102353398 |
| Mailing Telephone | 9102955511 |
| Mailing Fax Number | 9102353421 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 17600 | NC | Other Service Providers |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
17600 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8973446 | 05 | |
| NC | BLUE CROSS | 73446 | 01 |
| SC | SC MEDICAID | Q17600 | 01 |
| NC | PALMETTO GBA RAILROAD MCR | P01310778 | 01 |
| NC | FIRSTCAROLIINACARE | FH2000385 | 01 |
| Street Address |
205 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745525 | David John Kersbergen | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2005-10-28 |
| 1770192700 | Jennifer Taylor Reid | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8798 | 2020-07-27 |
| 1477188019 | Laura Jo Love | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2020-03-04 |
| 1265902852 | Chelsea Marie Fairley | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374 | 2018-11-27 |
| 1417433145 | Carolina Nick | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2018-07-16 |
| 1295262103 | Mcpc-18, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-05-23 |
| 1447782776 | Gail C. Lowery | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-03-27 |
| 1275072753 | Skyler W Rogers | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374 | 2017-02-17 |
| 1902356579 | Sara K Erdwins | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-10-07 |
| 1235688284 | Savannah M Fodero | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| 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 |
|---|---|---|---|---|
| 1073667077 | Earl George Gross | Dermatology | 3610 Medical Park Court, Morehead City, NC 28557 | 2007-01-23 |
| 1972591055 | Paul J Kostuchenko | Dermatology | 1345 Westgate Center Dr Ste B, Winston Salem, NC 27103-3041 | 2005-10-12 |
| 1588959894 | Dana Haydel | Dermatology | 706 Green Valley Rd Ste 104, Greensboro, NC 27408 | 2011-06-14 |
| 1821240995 | Westgate Dermatology and Laser Center, P.a. | Dermatology | 2020 Peace Haven Rd, Winston Salem, NC 27106-4851 | 2008-10-21 |
| 1841344843 | Crystal Coast Dermatology Services, Pa | Dermatology | 3610 Medical Park Court, Morehead City, NC 28557 | 2007-01-23 |
| 1609961853 | Scott David Mcclellan | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-10-04 |
| 1962411017 | Hee Kim Park | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-08-07 |
| 1104847714 | Polley Clinic of Dermatology & Dermatologic Surgery | Dermatology | 1806 Glendale Dr Sw, Wilson, NC 27893-4402 | 2006-07-21 |
| 1619903176 | Dermatology Associates of Coastal Carolina, Pa | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-06-24 |
| 1255316311 | Rita O Pichardo-geisinger | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-13 |
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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.