DERMONE (NPI# 1811371685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811371685 |
| Entity Type | Organization |
| Organization Name | DERMONE |
| Practice Address |
603 Beaman St Clinton NC 28328-2650 |
| Mailing Address |
725 S College Ave Bluefield VA 24605-1640 |
| Practice Telephone | 9105901049 |
| Mailing Telephone | 2763263376 |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |
| Authorized Official Name | DR. DAVID L TOLLIVER (PHYSICIAN) |
| Authorized Official Telephone | 2763263376 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DERMONE DERMATOLOGY ASSOCIATES OF MASSACHUSETTS, P.C. | 295 Ocean Ave., Marblehead, MA 01945 |
| Virginia Business Entities | DermOne Dermatology Associates of Virginia P.C. | 4701 Cox Road Suite 285, Glen Allen, Virginia 23060 |
| Virginia Business Entities | DermOne of North Carolina LLC | 1580 Lakewood Road Ste 20, Toms River, New Jersey 08755 |
| North Carolina Corporations | DermOne of the South Atlantic LLC | Four Tower Bridge, 200 Barr Harbor Drive Suite 200, West Conshohocken, PA 19428 |
| New York State Corporations | DERMONE PROPERTIES, LLC | 175 Main St., Ste. 800, White Plains, Ny 10601 |
| Street Address |
603 BEAMAN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306827738 | Wake Heart and Vascular Associates P.a. | Specialist | 603 Beaman St, Clinton, NC 28328-2650 | 2005-11-11 |
| 1760706154 | Sampson Regional Professional Services LLC | Obstetrics & Gynecology | 603 Beaman St, Suite 501, Clinton, NC 28328-2650 | 2010-03-15 |
| 1518280817 | Sampson Regional Professional Services | Obstetrics & Gynecology | 603 Beaman St, Suite 100, Clinton, NC 28328-2650 | 2010-03-01 |
| 1881867992 | Andres R Fleury-guzman | Surgery | 603 Beaman St, Suite 300, Clinton, NC 28328-2650 | 2008-04-09 |
| 1609049709 | Mariana Mendible | Surgery | 603 Beaman St, Suite 300, Clinton, NC 28328-2650 | 2008-04-09 |
| 1649449224 | Thomas Jc Woods Md Pa | Ophthalmology | 603 Beaman St, Clinton, NC 28328-2650 | 2008-02-27 |
| 1821209313 | Robert T Harris | Physician Assistant | 603 Beaman St, Suite 100, Clinton, NC 28328-2650 | 2007-05-25 |
| 1134255870 | David Allen Reeves | Physician Assistant | 603 Beaman St, Clinton, NC 28328-2650 | 2007-02-26 |
| 1982775037 | Albert Alexander Verrilli IIi | Family Medicine | 603 Beaman St, Clinton, NC 28328-2650 | 2006-11-12 |
| 1598836645 | Albert A Verrilli Md,pa | Family Medicine | 603 Beaman St, Clinton, NC 28328-2650 | 2006-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1407944721 | Brent Ashley Westbrook | Physician Assistant | 48 Stillwater Ln, Clinton, NC 28328-6119 | 2006-10-11 |
| 1699881219 | Heather Lynn Beck | Physician Assistant | 10401 Hospital Dr Ste 101, Clinton, MD 20735-3150 | 2006-08-23 |
| 1760042782 | Alexandra Jo Burrini | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2019-06-20 |
| 1801349279 | Sara Cobb | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2016-08-02 |
| 1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
| 1538526959 | Suzzette Van-lare | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2016-01-16 |
| 1477940898 | Melissa Weeter | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-04-23 |
| 1982097085 | Mirella Cortez | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-03-13 |
| 1013308972 | Eline Leonore Mul | Physician Assistant | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1608 | 2015-02-13 |
| Find all providers in CLINTON | ||||
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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.