GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC (NPI# 1891179727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891179727 |
| Entity Type | Organization |
| Organization Name | GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC |
| Other Organization Name | ADVANCED DERMATOLOGY & SKIN CARE CENTRE |
| Practice Address |
6701 Airport Blvd Ste D232 Mobile AL 36608-6757 |
| Mailing Address |
Po Box 850489 Ste. D232 Mobile AL 36685-0489 |
| Practice Telephone | 2516313570 |
| Practice Fax Number | 2516313572 |
| Mailing Telephone | 2516313570 |
| Mailing Fax Number | 2516313572 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | DR. THOMAS W BENDER III (PHYSICIAN) |
| Authorized Official Telephone | 2516313570 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 21520 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 116224 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology & Skin Care Centre | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184078024 | Gulf Coast Dermatology & Skin Care Centre Pllc | Pharmacy | 580 Providence Park Dr E Ste 202, Suite 202, Mobile, AL 36695-4614 | 2016-04-18 |
| 1336523265 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Mobile, AL 36695-4614 | 2015-07-09 |
| 1922346956 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 10800 Panama City Beach Pkwy, Suite 200, Panama City Beach, FL 32407-2533 | 2013-01-25 |
| 1750629788 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 4554 E Highway 20, Niceville, FL 32578-9755 | 2013-01-25 |
| 1205174232 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 7720 Us Highway 98 W, Suite 340, Miramar Beach, FL 32550-7230 | 2013-01-25 |
| 1750614301 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Second Floor, Mobile, AL 36695-4614 | 2009-09-15 |
| Street Address |
6701 AIRPORT BLVD STE D232 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| 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 |
|---|---|---|---|---|
| 1851447460 | Scott Freeman | Dermatology | 70 Midtown Park E, Mobile, AL 36606-4140 | 2007-01-26 |
| 1487755328 | Aldo Trovato | Dermatology | 3715 Dauphin Street Building 2, 4th Floor, Mobile, AL 36608-1771 | 2006-09-25 |
| 1477577757 | Robert Neil Capper | Dermatology | 5317 Oak Bend Ct, Mobile, AL 36609-2202 | 2006-07-27 |
| 1366471286 | John Scott Vanloock | Dermatology | 6163 Omni Park Dr, Mobile, AL 36609-5195 | 2006-07-02 |
| 1700826443 | Roberta G Swain | Dermatology | 3153 Dauphin St, Mobile, AL 36606-4061 | 2006-06-08 |
| 1912985243 | Amy M Morris | Dermatology | 4310 Old Shell Rd, D, Mobile, AL 36608-2049 | 2006-01-06 |
| 1649266792 | Thomas W Bender IIi | Dermatology | 580 Providence Park Dr E, 2nd Floor, Mobile, AL 36695-4614 | 2005-09-23 |
| 1891798807 | Belin Fred Bodie | Dermatology | 4300 Old Shell Rd, Ste B, Mobile, AL 36608-2036 | 2005-05-23 |
| 1255994141 | University of South Alabama Health Care Authority | Dermatology | 4300 Old Shell Rd Ste B, Mobile, AL 36608-2036 | 2019-04-17 |
| 1336523265 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Mobile, AL 36695-4614 | 2015-07-09 |
| Find all providers in MOBILE | ||||
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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.