DERMATOLOGY ASSOCIATES OF LINCOLN, LLC (NPI# 1982235883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982235883 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF LINCOLN, LLC |
| Practice Address |
6969 South Street Lincoln NE 68506 |
| Mailing Address |
549 Half Moon Bay Lincoln NE 68527-1525 |
| Practice Telephone | 4024137460 |
| Practice Fax Number | 4024137486 |
| Mailing Telephone | 4027304699 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MRS. JANEL Z FRICKE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4024137460 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
6969 SOUTH STREET |
| City | LINCOLN |
| State | NE |
| Zip Code | 68506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058861 | Christine Ruth Bergman | Dentist | 2121 S 70th Street, Lincoln, NE 68506 | 2020-06-19 |
| 1881218428 | South Lincoln Family Dentistry LLC | Dentist | 2121 S. 70th Street, Lincoln, NE 68506 | 2020-05-29 |
| 1609343052 | Advanced Medical Imaging Surgery Center, LLC | Clinic/Center | 7555 Pioneers Blvd, Lincoln, NE 68506 | 2018-10-24 |
| 1912484064 | Knaub Counseling Services, Inc. | Counselor | 1919 S 40th St Ste 312, Lincoln, NE 68506 | 2018-07-22 |
| 1073004586 | Navigate LLC | Clinic/Center | 4535 Normal Blvd Ste 142, Lincoln, NE 68506 | 2018-05-21 |
| 1346761053 | Ewonubari Kehinde Erekere Kats | Registered Nurse | 1500 S. 70th Street, 104, Lincoln, NE 68506 | 2017-07-03 |
| 1871013300 | Jennifer N Miller | Registered Nurse | 1500 S 48th Street, Suite 800, Lincoln, NE 68506 | 2017-06-26 |
| 1407393143 | Samantha Wilson | Specialist/Technologist | 1900 Broadmoore Drive, Lincoln, NE 68506 | 2017-01-19 |
| 1588119283 | Doctors Outpatient Surgery Center | Clinic/Center | 5055 A St, Suite 100, Lincoln, NE 68506 | 2016-08-23 |
| 1568861201 | Cornerstone Families II LLC | Counselor | 4630 Antelope Creek Road, Suite 140, Lincoln, NE 68506 | 2014-08-19 |
| Find all providers in zip 68506 | ||||
| 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 |
|---|---|---|---|---|
| 1619144003 | Casey Bowen | Dermatology | 6969 South St, Lincoln, NE 68506-2835 | 2008-05-14 |
| 1356407613 | Troy E Rustad, Md, Pa | Dermatology | 3334 Woodsshire Parkway, Lincoln, NE 68502 | 2006-12-29 |
| 1598838757 | Ann E Lott | Dermatology | 6406 Chesterfield Ct, Lincoln, NE 68510-2361 | 2006-11-16 |
| 1598863706 | Geoffrey Charles Basler | Dermatology | 2455 Pine Lake Road Suite 110, Lincoln, NE 68512-3612 | 2006-09-20 |
| 1295785525 | Brian Jean Herbin | Dermatology | 2455 Pine Lake Rd Ste 110, Lincoln, NE 68512-3665 | 2006-05-10 |
| 1417946484 | Mark D Heibel | Dermatology | 7701 Preserve Ln, Lincoln, NE 68516-4473 | 2005-10-20 |
| 1326036112 | Rex F Largen | Dermatology | 5533 S 27th Street, Suite 103, Lincoln, NE 68512-1664 | 2005-10-06 |
| 1558354407 | Daniel Evan Viders | Dermatology | 3 Wake Robin Rd Unit 5, Lincoln, RI 02865 | 2005-08-25 |
| 1003815101 | Stuart Paul Westburg | Dermatology | 2756 O St, Lincoln, NE 68510-1341 | 2005-07-20 |
| 1881690261 | Sutton Skin and Eye Clinic PC | Dermatology | 7100 Stephanie Ln Ste 100, Lincoln, NE 68516-5332 | 2005-06-22 |
| Find all providers in LINCOLN | ||||
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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.