Piedmont Dermatology Center, Pc in Martinsville - Specialist
Piedmont Dermatology Center, Pc - NPI 1538240486
Piedmont Dermatology Center, Pc is a Specialist in Martinsville, Virginia. Piedmont Dermatology Center, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Piedmont Dermatology Center, Pc is 1538240486. The last update date is 2011-10-03.
Piedmont Dermatology Center, Pc's current location address is 314 Fairy Street Ext, Martinsville, Virginia. You can contact this provider via phone number 2766668439 and fax number 2766668440. The mailing address for Piedmont Dermatology Center, Pc is 314 Fairy Street Ext, Martinsville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Piedmont Dermatology Center, Pc |
|---|---|
| Address | 314 Fairy Street Ext, Martinsville, Virginia |
| Phone Number | 2766668439 |
| Fax Number | 2766668440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Gross Jay Ned |
| Credentials | M.D. |
| Telephone Number | 2766668439 |
NPI Number Detail
| NPI Number | 1538240486 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2011-10-03 |
Provider Mailing Address Detail
| Address | 314 Fairy Street Ext |
|---|---|
| City | Martinsville |
| State | Virginia (VA) |
| Post Code | 241121913 |
| Phone Number | 2766668439 |
| Fax Number | 2766668440 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101228761 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70015390 | VA | RAILROAD MEDICARE | |
| 9767433 | VA | CIGNA | |
| 285584 | VA | ANTHEM | |
| 89011P5 | NC | -- | |
| 7986163 | NC | AETNA | |
| A1547 | NC | MEDCOST | |
| 308562 | NC | UNITED HEALTHCARE | |
| A1547 | VA | MEDCOST | |
| 011P5 | NC | BCBS | |
| 70015616 | NC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Piedmont Dermatology Center, Pc by the Centers for Medicare & Medicaid Services?
The Piedmont Dermatology Center, Pc has been issued the NPI (National Provider Identifier) 1538240486 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Piedmont Dermatology Center, Pc's facilities are situated?
The facilities of Piedmont Dermatology Center, Pc are physically located at the following address: 314 Fairy Street Ext, Martinsville, VA, 241121913.
What is the area of specialization for Piedmont Dermatology Center, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Piedmont Dermatology Center, Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Piedmont Dermatology Center, Pc receive the assignment of its 1538240486 from the Centers for Medicare & Medicaid Services?
The Piedmont Dermatology Center, Pc was issued its 1538240486 by the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the Piedmont Dermatology Center, Pc's information last updated?
The Piedmont Dermatology Center, Pc's information was last updated on 2011-10-03.