DR. JOHN RONALD VAN GURP (NPI# 1821173410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821173410 |
| Entity Type | Individual |
| Full Name | DR. JOHN RONALD VAN GURP |
| Credential | M.D. |
| Practice Address |
3111 Springbank Ln Suite J Charlotte NC 28226-3372 |
| Practice Telephone | 7045416001 |
| Practice Fax Number | 7045411563 |
| Mailing Telephone | 7045416001 |
| Mailing Fax Number | 7045411563 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | 34488 | NC | Allopathic & Osteopathic Physicians |
| X | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
34488 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3111 SPRINGBANK LN SUITE J |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467405563 | Merrilyn Rose Gill | Social Worker | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2006-05-18 |
| 1003292327 | Melissa Elder | Social Worker | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2015-08-10 |
| 1770913378 | George D. Hall, Md | Family Medicine | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2013-11-18 |
| 1184951113 | Teresa Rucker Helms | Psychologist | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2009-11-12 |
| 1942468228 | Diane L Payne | Psychologist | 3111 Springbank Ln, Suite I, Charlotte, NC 28226-3372 | 2008-05-23 |
| 1225237183 | Susan L. Young, Inc. | Counselor | 3111 Springbank Ln, Suite I, Charlotte, NC 28226-3372 | 2007-07-12 |
| 1821168980 | Sharon Elaine King | Counselor | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2006-11-08 |
| 1588681142 | Diane L Payne Phd Pa | Psychologist | 3111 Springbank Ln, Suite I, Charlotte, NC 28226-3372 | 2006-07-17 |
| 1689690968 | Nelsa A Ciapponi | Family Medicine | 3111 Springbank Ln, Suite G, Charlotte, NC 28226-3372 | 2006-07-13 |
| 1861425290 | George D Hall, Md | Custodial Care Facility | 3111 Springbank Ln, Suite I, Charlotte, NC 28226-3372 | 2006-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
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| 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 |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
| 1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
| 1770004376 | Laurel Castano | Dermatology | 10370 Park Rd Ste 201, Charlotte, NC 28210-8509 | 2017-07-05 |
| 1154732386 | Eileen Larkin Axibal | Dermatology | 15830 Ballantyne Medical Pl Ste 225, Charlotte, NC 28277-0760 | 2014-05-09 |
| 1013233352 | Alyssa Searles Daniel | Dermatology | 6324 Fairview Rd Ste 200, Charlotte, NC 28210-3361 | 2010-04-12 |
| 1538483078 | Scott Paviol | Dermatology | 2620 E 7th St Ste 200, Charlotte, NC 28204-4314 | 2010-03-25 |
| 1215050646 | Todd Helfman Md, Pa | Dermatology | 9335 Blakeney Centre Drive, Suite 130, Charlotte, NC 28277 | 2007-04-09 |
| 1346398435 | Novant Medical Group, Inc | Dermatology | 108 Providence Rd, Charlotte, NC 28207-1218 | 2007-01-08 |
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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.