DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC (NPI# 1750703666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750703666 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC |
| Other Organization Name | RIDGEVIEW DERMATOLOGY |
| Practice Address |
101 Candlewood Ct Suite 201 Lynchburg VA 24502-2654 |
| Practice Telephone | 4343634190 |
| Practice Fax Number | 4343634191 |
| Mailing Telephone | 4343634190 |
| Mailing Fax Number | 4343634191 |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | DR. JASON D GIVAN (OWNER) |
| Authorized Official Telephone | 4343634190 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101248532 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ridgeview Dermatology | Doing Business As Name - Organization |
| Street Address |
101 CANDLEWOOD CT SUITE 201 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817568 | Kamal A Chantal | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2005-11-03 |
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| 1003273087 | Megan Ann Allison | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2016-01-21 |
| 1154721868 | Carrie A Wilkes-hoffmeister | Nurse Practitioner | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-08-29 |
| 1013330877 | Jamie Martin | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-01-30 |
| 1689875445 | Samantha Hill | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-05-30 |
| 1992842074 | Lama Billeh | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-01-30 |
| 1255349254 | William Curtis Richardson Jr. | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-08-04 |
| 1528013497 | Alexis R Chantal | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129599 | Metro Mohs Surgery Center, LLC | Dermatology | 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 | 2019-05-15 |
| 1699927129 | Harry Leslie Parlette IIi | Dermatology | 125 Terrell Rd E, Charlottesville, VA 22901-2166 | 2008-10-15 |
| 1578722260 | Soonyou Kwon | Dermatology | 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 | 2008-06-06 |
| 1457483869 | Martha L Wilson Md Pa | Dermatology | 104 E Stuart Dr, Galax, VA 24333-2119 | 2007-03-12 |
| 1669561791 | Advanced Dermatology of Charlottesville, Plc | Dermatology | 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 | 2006-10-12 |
| 1063524593 | Oyster Point Dermatology Inc | Dermatology | 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 | 2006-08-31 |
| 1275586190 | Amir Bajoghli | Dermatology | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 | 2006-05-19 |
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| 1891169975 | Forefront Dermatology, S.c. | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182 | 2015-11-30 |
| 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.