GRAVES DERMA CARE CENTER, PC (NPI# 1891852653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891852653 |
| Entity Type | Organization |
| Organization Name | GRAVES DERMA CARE CENTER, PC |
| Practice Address |
601 Walnut St Suite L90 Philadelphia PA 19106-3304 |
| Practice Telephone | 2152381622 |
| Practice Fax Number | 2152381944 |
| Mailing Telephone | 2152381622 |
| Mailing Fax Number | 2152381944 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | DR. VAUGHAN CHANNING GRAVES (CEO PRESIDENT) |
| Authorized Official Telephone | 2158792389 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD 028158E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009410580004 | 05 |
| Street Address |
601 WALNUT ST SUITE L90 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474557 | Guy R Brignola | Optometrist | 601 Walnut St, Suite L30, Philadelphia, PA 19106-3323 | 2005-08-11 |
| 1932504982 | 365 Health Services LLC | Home Health | 601 Walnut St, Suite 718 East, Philadelphia, PA 19106 | 2014-10-31 |
| 1679800999 | Rossi Center, PC | General Practice | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-11-06 |
| 1982837647 | Optimal Wellness & Body Sculpting Inc. | Physical Medicine & Rehabilitation | 601 Walnut St, Ll30, Philadelphia, PA 19106-3323 | 2009-08-28 |
| 1528264215 | Jayrag A Patel | Ophthalmology | 601 Walnut St, Ste L30, Philadelphia, PA 19106 | 2007-06-21 |
| 1689799587 | Tamara A Danilewitz | Internal Medicine | 601 Walnut St, Curtis Center, Ste 230e, Philadelphia, PA 19106-3323 | 2007-03-20 |
| 1124178892 | Jennifer Kim | Ophthalmology | 601 Walnut St, Suite L30, Philadelphia, PA 19106 | 2007-01-12 |
| 1447359179 | Steven Zavodnick | Psychiatry & Neurology | 601 Walnut St, Suite 960w, Philadelphia, PA 19106-3332 | 2006-09-21 |
| 1184721771 | Laurel S. Lipshutz | Psychiatry & Neurology | 601 Walnut St, The Curtis Center, Suite 960w, Philadelphia, PA 19106-3332 | 2006-09-17 |
| 1245345479 | Hemorrhoid Care Centers, PC | Specialist | 601 Walnut St, Suite L55, Philadelphia, PA 19106-3332 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| 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 |
|---|---|---|---|---|
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1083061048 | Brandon Rowe | Dermatology | 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 | 2016-05-19 |
| 1942647078 | Jason Marc Schoenfeld | Dermatology | 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 | 2013-05-30 |
| 1588890669 | Philippe Lafaille | Dermatology | 1200 Locust Street, Philadelphia, PA 19107 | 2009-06-03 |
| 1194950683 | Jisun Cha | Dermatology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2009-05-27 |
| 1962546952 | Susan C. Taylor | Dermatology | 932 Pine St, Philadelphia, PA 19107-6128 | 2007-02-16 |
| 1194833590 | Harold Farber | Dermatology | 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 | 2006-08-26 |
| 1770599839 | Seana Patrice Covello | Dermatology | 621 Pine St, Philadelphia, PA 19106-4108 | 2006-07-31 |
| 1528080512 | Kenneth E Wasserman Md PC | Dermatology | 1817 South Broad St, Philadelphia, PA 19148-2115 | 2006-07-25 |
| 1811947351 | James R Treat | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-05-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.