DERMATOLOGY ASSOCIATES PA (NPI# 1972562213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972562213 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES PA |
| Practice Address |
4021 Balmoral Dr Sw Huntsville AL 35801-6403 |
| Practice Telephone | 2565392741 |
| Practice Fax Number | 2565392775 |
| Mailing Telephone | 2565392741 |
| Mailing Fax Number | 2565392775 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | MR. MARTIN BECK (ADMINISTRATOR) |
| Authorized Official Telephone | 2565392741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE RAIL ROAD | CC2318 | 01 |
| AL | 520402120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497021919 | Dermatology Associates Pa | Pharmacy | 1904 Tradd Ct, Wilmington, NC 28401-6637 | 2012-03-29 |
| 1861565996 | Dermatology Associates Pa | Specialist | 28 Medical Ridge Dr, Greenville, SC 29605-4267 | 2006-11-16 |
| Street Address |
4021 BALMORAL DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295712933 | Becky L Raby | Allergy & Immunology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6441 | 2005-12-23 |
| 1043735335 | Brittny White | Physician Assistant | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2017-08-08 |
| 1114343639 | Amber Harrison | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2014-03-07 |
| 1144499823 | Mary Dell Railey | Allergy & Immunology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2008-02-26 |
| 1245361831 | Kathryn L Wyatt | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2007-03-08 |
| 1831148220 | Kelly M Durham | Physician Assistant | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-05-10 |
| 1184683021 | Allergy,asthma and Clinical Immunology Specialists, P.C. | Specialist | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-03-20 |
| 1508844937 | Lon F Raby Jr. | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-05 |
| 1316925944 | Mary Knight | Nurse Practitioner | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-04 |
| 1083692842 | Patricia J Wilson | Dermatology | 4021 Balmoral Dr Sw, Huntsville, AL 35801-6403 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437334026 | John D. Sherrod, M.d., L.L.C. | Dermatology | 27625 Highway 98, Building B, Daphne, AL 36526-4816 | 2008-01-02 |
| 1376725887 | Ronderos Aesthetics, LLC | Dermatology | 1132 Hillcrest Rd, Mobile, AL 36695-3920 | 2007-11-27 |
| 1033208541 | Retna A Billano | Dermatology | 4325 Dolly Ridge Road, Vestavia, AL 35243 | 2006-10-12 |
| 1558318477 | Sarah Boyce Sawyer | Dermatology | 201 Office Park Drive, Suite 250, Birmingham, AL 35223 | 2006-05-27 |
| 1740579036 | Adam Laughlin Sperduto | Dermatology | 2000 Stonegate Trl Ste 112, Vestavia Hls, AL 35242-2237 | 2011-04-07 |
| 1770782849 | Decatur Dermatology, PC | Dermatology | 1316 Somerville Rd Se, Suite 4, Decatur, AL 35601-4305 | 2007-07-17 |
| 1023195393 | Laser and Skin Care Center of Mobile | Dermatology | 3 Mobile Infirmary Cir, Suite 303, Mobile, AL 36607-3520 | 2006-11-01 |
| 1013004860 | John Stewart Peters | Dermatology | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2006-10-05 |
| 1992777627 | Angelo Mancuso | Dermatology | 540 Hughes Rd, Madison, AL 35758-8959 | 2006-02-06 |
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.