ADVANCED DERMATOLOGY INC (NPI# 1982607883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982607883 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY INC |
| Practice Address |
255 Park Ave Ste 600 Worcester MA 01609-1930 |
| Practice Telephone | 5087566379 |
| Practice Fax Number | 5087560536 |
| Mailing Telephone | 5087566379 |
| Mailing Fax Number | 5087560536 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | DR. THOMAS LEE ROSENFELD (PRESIDENT) |
| Authorized Official Telephone | 5087566379 |
| Authorized Official Credential | M.D. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 50277 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTHPLAN | 5344 | 01 |
| MA | UNITHED HEALTHCARE | 303023 | 01 |
| MA | FALLON | 13136 | 01 |
| MA | 9764437 | 05 | |
| MA | RAILROAD MEDICARE | M6612 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568414266 | Advanced Dermatology Inc | Dermatology | 8940 Darrow Rd, Twinsburg, OH 44087-2110 | 2006-05-17 |
| Street Address |
255 PARK AVE STE 600 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567228 | Peter P Audette | Dentist | 255 Park Ave, Ste 800, Worcester, MA 01609-1984 | 2005-06-10 |
| 1376188672 | Bryan Negron Quinones | Counselor | 255 Park Ave, 8th Floor Suite 804, Worcester, MA 01609 | 2019-11-10 |
| 1598248619 | Bernice Ankomah | Social Worker | 255 Park Ave, Worcester, MA 01609-1953 | 2018-09-13 |
| 1750830055 | Michelle Welsh | Social Worker | 255 Park Ave, Suite 500, Worcester, MA 01609-1953 | 2016-09-27 |
| 1679022974 | Debrah Morris | Social Worker | 255 Park Ave, Suite 500, Worcester, MA 01609-1953 | 2016-09-27 |
| 1619374345 | Catherine Gallagher | Contractor | 255 Park Ave, Suite 1000, Worcester, MA 01609-1953 | 2014-11-24 |
| 1730527268 | Joan Ann Barclay | Counselor | 255 Park Ave, Worcester, MA 01609-1953 | 2013-06-06 |
| 1003252370 | Meghan C. Buckley | Counselor | 255 Park Ave, Worcester, MA 01609-1953 | 2013-05-14 |
| 1245571447 | Kera E. Persaud | Counselor | 255 Park Ave, Worcester, MA 01609-1953 | 2013-03-13 |
| 1366783029 | Rosa M Hernandez | Social Worker | 255 Park Ave, Worcester, MA 01609-1953 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| 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 |
|---|---|---|---|---|
| 1043242589 | Jeremy S Bordeaux | Dermatology | 281 Lincoln Street, Umass Dermatology Hahnemann Campus, Worcester, MA 01605 | 2006-07-07 |
| 1376519421 | Camille I Roberts | Dermatology | 405 Grove St, Suite 304, Worcester, MA 01605-1270 | 2006-02-28 |
| 1760473557 | Seth G. Kates | Dermatology | 100 Martin Luther King Jr. Blvd., Worcester, MA 01608-1209 | 2005-11-02 |
| 1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
| 1437500055 | Firstcare Dermatology of Worcester, LLC | Dermatology | 10 Winthrop St, Worcester, MA 01604-4435 | 2016-06-24 |
| 1679928832 | Karan Lal | Dermatology | 281 Lincoln St, Worcester, MA 01605-2138 | 2016-04-25 |
| 1558749606 | Michael Cunningham | Dermatology | 281 Lincoln St, Worcester, MA 01605-2138 | 2015-05-09 |
| 1821437153 | Mehdi Rashighi Firoozabadi | Dermatology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2013-06-20 |
| 1588002273 | Riley E. Mclean-mandell | Dermatology | 281 Lincoln St, Worcester, MA 01605-2138 | 2013-06-05 |
| 1982983235 | Melissa A Michelon | Dermatology | 281 Lincoln St, Worcester, MA 01605-2138 | 2011-08-04 |
| Find all providers in WORCESTER | ||||
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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.