KRISTY LYNN CHATHAM


Address: 525 N Dacie Pt, Lecanto, FL 34461-8399
Phone: 3527462200

KRISTY LYNN CHATHAM (NPI# 1942294269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942294269
Entity Type Individual
Full Name KRISTY LYNN CHATHAM
Credential PAC
Practice Address 525 N Dacie Pt
Lecanto
FL 34461-8399
Practice Telephone 3527462200
Practice Fax Number 3527469320
Mailing Telephone 3527462200
Mailing Fax Number 3527469320
Enumeration Date 2005-09-01
Last Update Date 2008-05-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology PA9102875 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL SRRGA P00251111 01

Office Location

Street Address 525 N DACIE PT
City LECANTO
State FL
Zip Code 34461-8399

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336133792 Michael Bruce Wartels Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31
1447898150 Nicole Schnell Physician Assistant 525 N Dacie Pt, Lecanto, FL 34461-8399 2019-12-12
1164075560 Nancy Hindalong Nurse Practitioner 525 N Dacie Pt, Lecanto, FL 34461-8399 2019-07-24
1114461274 Ashton Mae Wester Nurse Practitioner 525 N Dacie Pt, Lecanto, FL 34461-8399 2016-12-08
1366771115 Carla Renee Bailey Physician Assistant 525 N Dacie Pt, Lecanto, FL 34461-8399 2009-12-08
1396794103 Elizabeth M Estes Nurse Practitioner 525 N Dacie Pt, Lecanto, FL 34461-8399 2006-05-09
1043204365 William Arch Welton IIi Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-09-01
1902890239 Suncoast Dermatology and Skin Surgery Center, Pa Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-09-01
1073507455 Margaret Anne Collins Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31
1104810563 Ralph Eugene Massullo Jr. Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891261160 Shekinah Barfield Physician Assistant Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 2018-10-15
1699240887 Medical Risk Solutions Family Medicine 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 2018-10-04
1851848097 Pedim Outreach and Specialty Clinic LLC Family Medicine 1982 N Prospect Ave, Lecanto, FL 34461 2016-09-06
1265776579 Wal-mart Stores East Lp Technician/Technologist 1936 N. Lecanto Hwy, Lecanto, FL 34461 2012-11-27
1922306109 Pediatric and Internal Medicine Specialists, Pa Clinic/Center 1980 North Prospect Avenue, Lecanto, FL 34461 2011-03-11
1942459078 Crq Enterprises LLC Home Health 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 2008-09-12
1548418064 Thomas Tybeck Counselor 324 S Kensington Ave Ste 328, Lecanto, FL 34461 2008-09-09
1356533566 Amanda Nicole Coppedge Optometrist 240 N. Lecanto Hwy., Lecanto, FL 34461 2007-08-11
1679779185 Brashears Vital Care Corp Pharmacy 471 N Dacie Pt, Lecanto, FL 34461 2007-06-22
1285751099 Interim Healthcare Private Services, Inc. Home Health 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 2007-03-25
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336133792 Michael Bruce Wartels Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31
1043204365 William Arch Welton IIi Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-09-01
1073507455 Margaret Anne Collins Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31
1104810563 Ralph Eugene Massullo Jr. Dermatology 525 N Dacie Pt, Lecanto, FL 34461-8399 2005-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962002154 Precision Skin LLC Dermatology 3501 S University Dr Ste 5, Davie, FL 33328-2001 2020-10-28
1487252417 Janice Reaume Dermatology 3335 Imperial Manor Way, Mulberry, FL 33860-5519 2020-10-12
1922617729 Synergymd, LLC Dermatology 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 2020-07-28
1518585447 Alexander F Wong Dermatology 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 2020-07-07
1508495003 Elite Dermatology Dermatology 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 2020-04-06
1124668371 Meaghan Margaret Birakis Dermatology 3319 Fl-7 #202, Wellington, FL 33449 2020-01-15
1396380044 Suzanne Marie Smith Dermatology 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 2019-11-15
1376188383 Enchantress Dermatology, Inc. Dermatology 241 Nw 119 Ave, Miami, FL 33182-1329 2019-11-13
1699319988 Revivify Dermatology, LLC Dermatology 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 2019-10-30
1841833928 Carly Marie Maher Dermatology 90 Cypress Way E Ste 50, Naples, FL 34110-9275 2019-10-22
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Competitor

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City LECANTO
Zip Code 34461

Improve Information

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Dataset Information

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.

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