SKIN PC (NPI# 1821118613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821118613 |
Entity Type | Organization |
Organization Name | SKIN PC |
Practice Address |
1830 Town Center Dr Suite 410 Reston VA 20190-3292 |
Practice Telephone | 7037662220 |
Mailing Telephone | 7037662220 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MISTY CARTER (ADMINISTRATOR) |
Authorized Official Telephone | 7037662220 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
0102201287 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447629886 | Skin PC | Dermatology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2015-09-16 |
1801277801 | Skin PC | Dermatology | 1935 E Military Ave, Fremont, NE 68025-5489 | 2015-06-15 |
1134410764 | Skin PC | Dermatology | 1408 Veterans Dr, Suite 100, Elkhorn, NE 68022-6912 | 2011-04-30 |
Street Address |
1830 TOWN CENTER DR SUITE 410 |
City | RESTON |
State | VA |
Zip Code | 20190-3292 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
1811351166 | Loudoun Medical Group PC | Urology | 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 | 2016-04-12 |
1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
1164787065 | Aishah Carol Hassan | Voluntary or Charitable | 1830 Town Center Dr, Reston, VA 20190-3292 | 2012-07-07 |
1063739324 | Healthy Heart Sleep Center, LLC | Clinical Medical Laboratory | 1830 Town Center Dr, Suite 405, Reston, VA 20190-3292 | 2010-04-27 |
1578729216 | Tae Joon Chung, Md PC | Internal Medicine | 1830 Town Center Dr, Suite 308, Reston, VA 20190-3292 | 2008-08-01 |
1316110125 | Richard Lee Cho | Psychiatry & Neurology | 1830 Town Center Dr, Suite 305, Reston, VA 20190-3292 | 2008-04-12 |
1730364969 | Rabih Kanan Hamzeh | Specialist | 1830 Town Center Dr, Suite #303, Reston, VA 20190-3292 | 2008-01-07 |
1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
1689855587 | David K Chow, Md, PC | Ophthalmology | 1830 Town Center Dr, Suite 210, Reston, VA 20190-3292 | 2007-11-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
Find all providers in zip 20190 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
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 |
---|---|---|---|---|
1215076112 | Family Dermatology of Albemarle Plc | Dermatology | 215 Wayles Ln, Suite 150, Charlottesville, VA 22911-4631 | 2007-02-06 |
1184269714 | Skin Institute of Virginia, Pllc | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2019-11-06 |
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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.