CAROLINA DERMATOLOGY CENTER (NPI# 1750490306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750490306 |
| Entity Type | Organization |
| Organization Name | CAROLINA DERMATOLOGY CENTER |
| Practice Address |
1900 Ashwood Ct Greensboro NC 27455-3005 |
| Mailing Address |
Po Box 1689 Etowah NC 28729-1689 |
| Practice Telephone | 3362821414 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | DEBBIE REINELT (BILLING) |
| Authorized Official Telephone | 8288915524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890117W | 05 | |
| NC | RAILROAD MCR | C14128 | 01 |
| NC | BCBS | 01423 | 01 |
| Street Address |
1900 ASHWOOD CT |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382646 | Kelli R Sheffield | Physician Assistant | 1900 Ashwood Ct, Greensboro, NC 27455-3005 | 2006-04-01 |
| 1790082873 | Moses Cone Affiliated Physicians, Inc. | Family Medicine | 1900 Ashwood Ct, Greensboro, NC 27455-3005 | 2011-02-25 |
| 1699847921 | Jennifer R Clark-bruning | Physician Assistant | 1900 Ashwood Ct, Greensboro, NC 27455-3005 | 2006-11-14 |
| 1508827098 | Stuart O Tafeen | Dermatology | 1900 Ashwood Ct, Greensboro, NC 27455-3005 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| 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 |
|---|---|---|---|---|
| 1003226051 | Mario Mitkov | Dermatology | 3107 Brassfield Rd Ste 300, Greensboro, NC 27410-2074 | 2014-04-30 |
| 1750439188 | Bruce Phillip Mccoy | Dermatology | 526 North Elam Avenue, Suite 201, Greensboro, NC 27403-1132 | 2007-01-08 |
| 1538236294 | Wayne G. Woods Md Pa | Dermatology | 719 Green Valley Rd Ste 203, Greensboro, NC 27408-7025 | 2006-11-29 |
| 1023105897 | John H Hall Jr Md Pa | Dermatology | 1305 W Wendover Avenue, Ste D, Greensboro, NC 27408 | 2006-10-05 |
| 1033195789 | Dermatology Specialists Pa | Dermatology | 510 N Elm Ave, Suite 303, Greensboro, NC 27403-1142 | 2005-12-15 |
| 1093799447 | Robert Nicholas Davis | Dermatology | 600 Walter Reed Dr, Greensboro, NC 27403-4541 | 2005-11-30 |
| 1013914910 | Robert G Goodrich | Dermatology | 2704 Saint Jude St, Greensboro, NC 27405-3670 | 2005-07-07 |
| 1962405647 | David E. Tart | Dermatology | 5704 Hidden Orchard Dr, Greensboro, NC 27410-2523 | 2005-05-24 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on CAROLINA DERMATOLOGY CENTER.
| 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.