ADVANCED DERMATOLOGY & SKIN CARE SPECIALISTS, LLC (NPI# 1801969480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801969480 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY & SKIN CARE SPECIALISTS, LLC |
| Practice Address |
1419 Hamric Dr E Suite 101 Oxford AL 36203-1933 |
| Practice Telephone | 2562353660 |
| Practice Fax Number | 2562353663 |
| Mailing Telephone | 2562353660 |
| Mailing Fax Number | 2562353663 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DR. SHELLEY H RAY (MD OWNER) |
| Authorized Official Telephone | 2562353660 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0023813 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 0051503704 | 05 | |
| AL | 051556655 | 05 | |
| AL | 529908960 | 05 | |
| AL | BC BS ALABAMA DR RAY | 51503704 | 01 |
| Street Address |
1419 HAMRIC DR E SUITE 101 |
| City | OXFORD |
| State | AL |
| Zip Code | 36203-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259643 | Shelley H Ray | Dermatology | 1419 Hamric Dr E, #101, Oxford, AL 36203-1933 | 2005-07-19 |
| 1770194011 | Patrick Vinson | Specialist/Technologist | 1419 Hamric Dr E, Oxford, AL 36203-2173 | 2020-08-11 |
| 1376096107 | Allison O Granger | Physician Assistant | 1419 Hamric Dr E, Suite 101, Oxford, AL 36203-2173 | 2016-07-28 |
| 1144623521 | Joseph A Mogill | Specialist | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2014-09-30 |
| 1497181002 | John C Neal | Specialist | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2013-09-16 |
| 1578700092 | Sara Ashley Slayton | Physical Therapist | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2009-01-21 |
| 1437315504 | Clinton M Ray Md Orthopaedics & Sports Medicine LLC | Orthopaedic Surgery | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2008-07-29 |
| 1841402138 | Randall Cameron Beason | Specialist/Technologist | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2007-05-07 |
| 1881630465 | Douglas B. Strautman | Physical Therapist | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2006-06-21 |
| 1275522740 | Clinton Michael Ray | Orthopaedic Surgery | 1419 Hamric Dr E, Suite 201, Oxford, AL 36203-2173 | 2005-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371375 | Brittany Mcevoy | Registered Nurse | 1477 Taylors Chapel Road, Oxford, AL 36203 | 2019-11-22 |
| 1154978500 | Anthony Quandrez Mckinney | Technician | 602 Lane Road, Oxford, AL 36203 | 2019-08-21 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1477084051 | Betsy Brittain Brittain | Speech-Language Pathologist | 1130 South Hale Street, Oxford, AL 36203 | 2017-03-24 |
| 1427504760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 50 Commons Way, Suite D, Oxford, AL 36203 | 2016-08-28 |
| 1417372509 | Hala Shama Mourtada | Licensed Practical Nurse | 6213 Shannon Brook Lane, Oxford, AL 36203 | 2014-02-26 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1467679480 | Physicians Choice Dialysis of Oxford, LLC | Clinic/Center | 711 Snow Street, Oxford, AL 36203 | 2007-04-19 |
| 1720136443 | Keel and Associates | General Practice | 1612 Highway 78 East, Suite 100, Oxford, AL 36203 | 2007-01-08 |
| Find all providers in zip 36203 | ||||
| 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 |
|---|---|---|---|---|
| 1427535079 | Jenna Joe Rose Cooper | Dermatology | 2204 Jefferson Davis Dr, Oxford, MS 38655-5222 | 2018-07-26 |
| 1063724987 | Lyndsay R Shipp | Dermatology | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2010-07-08 |
| 1760586002 | Philip R Loria Jr. | Dermatology | 2204 Jefferson Davis Drive, Oxford, MS 38655 | 2006-09-08 |
| 1447259643 | Shelley H Ray | Dermatology | 1419 Hamric Dr E, #101, Oxford, AL 36203-1933 | 2005-07-19 |
| 1588151310 | Dermatology Associates of Oxford, LLC | Dermatology | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851249 | Pure Skin Dermatology & Oncology, Inc | Dermatology | 12205 County Line Rd Ste D, Madison, AL 35758-7720 | 2019-09-30 |
| 1457824781 | Emily Claire Jones | Dermatology | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2019-01-09 |
| 1689141822 | Magnolia Springs Skin & Wellness Center PC LLC | Dermatology | 12440 Magnolia Springs Hwy Ste 200, Magnolia Springs, AL 36555-6422 | 2018-10-25 |
| 1982133633 | Edward Chen | Dermatology | 500 22nd St S Ste 3500, Birmingham, AL 35233 | 2017-06-07 |
| 1366970253 | Robert J. Bentley LLC | Dermatology | 900 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-5848 | 2017-05-23 |
| 1689028029 | Katelyn Zimmer | Dermatology | 8331 Madison Blvd Ste 300, Madison, AL 35758-2073 | 2016-04-22 |
| 1770945719 | Helyn Alvarez | Dermatology | 510 20th St S Ste 858, Birmingham, AL 35233-2028 | 2016-03-28 |
| 1003290578 | Alan C Turnham, M.d.,p.a. | Dermatology | 2571 Ross Clark Cir, Dothan, AL 36301-4912 | 2015-07-15 |
| 1891179727 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 6701 Airport Blvd Ste D232, Mobile, AL 36608-6757 | 2015-07-09 |
| 1891113304 | Christopher Alan English | Dermatology | Eye Foundation Hospital 414 1720 2nd Ave S, Birmingham, AL 35294-0009 | 2014-04-01 |
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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.