PREMIER DERMATOLOGY AND SKIN CANCER CENTER, PLLC (NPI# 1942637772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942637772 |
Entity Type | Organization |
Organization Name | PREMIER DERMATOLOGY AND SKIN CANCER CENTER, PLLC |
Practice Address |
5935 Washington Ave Suite A Ocean Springs MS 39564-2642 |
Practice Telephone | 2282150669 |
Practice Fax Number | 2282150669 |
Mailing Telephone | 2282150669 |
Mailing Fax Number | 2282150669 |
Enumeration Date | 2013-10-13 |
Last Update Date | 2013-10-23 |
Authorized Official Name | MICHELE HUGHES (PHYSICIAN/OWNER) |
Authorized Official Telephone | 2282150669 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
21095 | MS | Ambulatory Health Care Facilities |
Y | 207N00000X | Dermatology | 21095 | MS | Allopathic & Osteopathic Physicians |
Street Address |
5935 WASHINGTON AVE SUITE A |
City | OCEAN SPRINGS |
State | MS |
Zip Code | 39564-2642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841229564 | Rodney J Nichols | Physical Therapist | 5935 Washington Ave, Suite B, Ocean Springs, MS 39564-2642 | 2006-07-03 |
1316403934 | Ashley Ladner Bourgeois | Physician Assistant | 5935 Washington Ave, Ocean Springs, MS 39564-2679 | 2019-02-19 |
1003239393 | David Hoffman | Chiropractor | 5935 Washington Ave, Suite B, Ocean Springs, MS 39564-2642 | 2014-01-23 |
1932391786 | Michele Haynie Hughes | Dermatology | 5935 Washington Ave, Suite A, Ocean Springs, MS 39564-2642 | 2007-08-15 |
1235344821 | Precision Wellness and Rehab Center, LLC | Chiropractor | 5935 Washington Ave, Suite C, Ocean Springs, MS 39564-2642 | 2007-05-14 |
1629082045 | Absolute Rehab Services, LLC | Physical Therapist | 5935 Washington Ave, Suite B, Ocean Springs, MS 39564-2642 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
Find all providers in zip 39564 |
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 |
---|---|---|---|---|
1316963911 | Mary-elizabeth Cordle | Dermatology | 4509 Gibson Road, Ocean Springs, MS 39564 | 2006-07-15 |
1982664256 | Thomas Calvin Garrott | Dermatology | 24 Marks Road, Ocean Springs, MS 39564 | 2006-03-23 |
1932391786 | Michele Haynie Hughes | Dermatology | 5935 Washington Ave, Suite A, Ocean Springs, MS 39564-2642 | 2007-08-15 |
1609080423 | Thomas C Garrott, M.d., Pa | Dermatology | 24 Marks Rd, Ocean Springs, MS 39564-4350 | 2007-05-10 |
1841300175 | Eric Carl Torp | Dermatology | 2112 Bienville Blvd, Suite F1, Ocean Springs, MS 39564-3052 | 2006-08-30 |
1770693012 | Gulf Shore Dermatology, Pllc | Dermatology | 2112 Bienville Blvd, Suite F1, Ocean Springs, MS 39564-3052 | 2006-08-30 |
1720048002 | Alan Gregory Crawford | Dermatology | 24 Marks Road, Ocean Springs, MS 39564 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760043046 | Skin In The Game, Pllc | Dermatology | 6510 Highway 90, Gautier, MS 39553-5015 | 2019-06-26 |
1427535079 | Jenna Joe Rose Cooper | Dermatology | 2204 Jefferson Davis Dr, Oxford, MS 38655-5222 | 2018-07-26 |
1427460849 | Anna Allred Wile | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-05-21 |
1134558331 | South Central Clinics, Inc | Dermatology | 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 | 2013-11-07 |
1407296825 | Ashley Nicole Emerson | Dermatology | 6510 Highway 90 Ste C, Gautier, MS 39553-5015 | 2013-06-29 |
1265729719 | Jasmine C. Hollinger | Dermatology | 2080 S Frontage Rd Ste 113, Vicksburg, MS 39180-5882 | 2011-07-06 |
1295022861 | Kenneth Daniel Saul | Dermatology | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2011-07-05 |
1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
1063724987 | Lyndsay R Shipp | Dermatology | 705 Sisk Ave Ste 105, Oxford, MS 38655-3413 | 2010-07-08 |
1144545195 | Lisa Renee Chastant | Dermatology | 81 Mdos/sgomd, 301 Fisher St., Keesler Afb, MS 39534-2519 | 2010-04-01 |
Find all providers with the same taxonomy |
City | OCEAN SPRINGS |
Zip Code | 39564 |
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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.