JAMES KENNETH HERSTOFF (NPI# 1710980461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710980461 |
| Entity Type | Individual |
| Full Name | JAMES KENNETH HERSTOFF |
| Credential | M.D. |
| Practice Address |
75 Gibbs Ave Newport RI 02840-2216 |
| Practice Telephone | 4018492223 |
| Mailing Telephone | 4018492223 |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2007-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD04667 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD RI | 0000000709 | 01 |
| RI | 900709 | 05 |
| Street Address |
75 GIBBS AVE |
| City | NEWPORT |
| State | RI |
| Zip Code | 02840-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993465 | Jacquelene Henderson | Counselor | 1341 West Main Road, Suite 16, Newport, RI 02840 | 2018-12-12 |
| 1619406683 | Lauren A Mcgovern | Social Worker | 8 Freebody St Ste 101, Newport, RI 02840 | 2017-06-05 |
| 1922388289 | Newport Family Foot Care, LLC | Podiatrist | 329 Broadway, Newport, RI 02840 | 2011-08-18 |
| 1578867255 | Nora K Griscom | Social Worker | 130 Bellevue Ave Ste 214, Newport, RI 02840 | 2011-01-10 |
| 1528200326 | Jessica Marie Welsh | Speech-Language Pathologist | 10 Friendship Street, Newport, RI 02840 | 2009-03-25 |
| 1023139037 | Elizabeth J Hayes | Counselor | Codac Inc, 93 Thames St, Newport, RI 02840 | 2007-04-03 |
| 1265551105 | Richatd Stengel | Dentist | East Bay Community Action Program, 19 Broadway, Newport, RI 02840 | 2007-03-29 |
| 1235262346 | Jon E Brett | Psychologist | 37 Powel Avenue, Newport, RI 02840 | 2007-03-14 |
| 1710018668 | James L Maher Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 120 Hillside Ave, Newport, RI 02840 | 2007-03-09 |
| 1285760736 | John Louis Salomone | Dentist | 73 Memorial Blvd, Newport, RI 02840 | 2007-02-26 |
| Find all providers in zip 02840 | ||||
| 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 |
|---|---|---|---|---|
| 1316556871 | Easterm Dermatology, Pa | Dermatology | 1840 Nc Hwy 24, Newport, NC 28570 | 2020-07-30 |
| 1437294584 | Maurice F Dana | Dermatology | 285 Howard Blvd., Newport, NC 28570-1689 | 2007-02-20 |
| 1639716384 | Usman Ghani Lashari | Dermatology | 6 John H Chafee Blvd, Newport, RI 02840-1034 | 2019-12-02 |
| 1437280344 | North Country Hospital & Health Center Inc | Dermatology | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-09 |
| 1598842874 | Sharon L Hackett | Dermatology | 189 Prouty Dr, Newport, VT 05855-9326 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054043 | Carlos G Wambier | Dermatology | 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2292 | 2018-08-23 |
| 1689153454 | Maeve Riane Tobin | Dermatology | 333 School St Ste 112a, Pawtucket, RI 02860-5336 | 2018-08-12 |
| 1588082200 | Julia O. Baltz | Dermatology | 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 | 2014-03-31 |
| 1548685985 | Agape Medical Spa of Warwick, Inc | Dermatology | 49 Seekonk St Unit 3, Providence, RI 02906-5176 | 2014-02-21 |
| 1124382023 | Scott Hammerman | Dermatology | 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 | 2012-06-26 |
| 1356583439 | Caroline Chang | Dermatology | 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 | 2009-04-03 |
| 1497885719 | Louis A Fragola Jr Md Ltd | Dermatology | 1525 Wampanoag Trail, East Providence, RI 02915 | 2007-03-06 |
| 1215086988 | Laura Della Torre | Dermatology | 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 | 2007-01-10 |
| 1518053271 | Nomate Toate Kpea | Dermatology | 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 | 2006-10-04 |
| 1457364382 | Candace S Lapidus | Dermatology | 5 Spinnaker Dr, Barrington, RI 02806-2831 | 2006-08-14 |
| 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.