MONTGOMERY DERMATOLOGY, P.C. (NPI# 1982877619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982877619 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY DERMATOLOGY, P.C. |
| Practice Address |
4712 Berry Blvd Montgomery AL 36106-3080 |
| Mailing Address |
2257 Taylor Rd Suite200 Montgomery AL 36117-7790 |
| Practice Telephone | 3348343094 |
| Mailing Telephone | 3342709914 |
| Mailing Fax Number | 3342703195 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2009-05-11 |
| Authorized Official Name | DR. JOHN LEE ANTHONY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3348343094 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
4712 BERRY BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184790479 | John Lee Anthony | Dermatology | 4712 Berry Blvd, Montgomery, AL 36106-3080 | 2006-11-28 |
| 1154570760 | Ellen Shea Burch-burkhalter | Physician Assistant | 4712 Berry Blvd, Montgomery, AL 36106-3080 | 2008-09-18 |
| 1326195124 | Porcia Bradford Love | Dermatology | 4712 Berry Blvd, Montgomery, AL 36106-3080 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| 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 |
|---|---|---|---|---|
| 1184790479 | John Lee Anthony | Dermatology | 4712 Berry Blvd, Montgomery, AL 36106-3080 | 2006-11-28 |
| 1114037215 | Elizabeth Ann Mountcastle | Dermatology | 286 Mitylene Park Dr, Montgomery, AL 36117-3548 | 2006-08-30 |
| 1104897073 | Mark D. Herron, M.d. L.L.C. | Dermatology | 7260 Halcyon Summit Dr, Montgomery, AL 36117-7047 | 2006-01-30 |
| 1699128009 | River Region Dermatology and Laser Inc | Dermatology | 2060 Berryhill Rd, Montgomery, AL 36117-8965 | 2016-07-20 |
| 1881911204 | Katherine Jane Bodiford | Dermatology | 7260 Halcyon Summit Dr, Montgomery, AL 36117-7047 | 2010-04-25 |
| 1164748117 | Aesthetic Dermatology | Dermatology | 300 Taylor Rd, Suite 800, Montgomery, AL 36117-3521 | 2010-04-15 |
| 1275722100 | James D. Smith, M.d. | Dermatology | 1722 Pine St, Suite 408, Montgomery, AL 36106-1103 | 2007-10-16 |
| 1386793925 | Nga Athena Phan | Dermatology | 300 Taylor Rd, Suite 100, Montgomery, AL 36117-3521 | 2007-01-10 |
| 1326195124 | Porcia Bradford Love | Dermatology | 4712 Berry Blvd, Montgomery, AL 36106-3080 | 2007-01-04 |
| 1306902127 | James Stephen Maddox | Dermatology | 286 Mitylene Park Dr, Montgomery, AL 36117 | 2006-12-28 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.