Commonwealth Dermatology, Pc in Richmond - Mohs-micrographic Surgery
Commonwealth Dermatology, Pc - NPI 1013091115
Commonwealth Dermatology, Pc is a Mohs-micrographic Surgery in Richmond, Virginia. Commonwealth Dermatology, Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Commonwealth Dermatology, Pc is 1013091115. The last update date is 2014-09-03.
Commonwealth Dermatology, Pc's current location address is 7001 Forest Ave, Richmond, Virginia. You can contact this provider via phone number 8042820831 and fax number 8042887135. The mailing address for Commonwealth Dermatology, Pc is 7001 Forest Ave, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Commonwealth Dermatology, Pc |
|---|---|
| Address | 7001 Forest Ave, Richmond, Virginia |
| Phone Number | 8042820831 |
| Fax Number | 8042887135 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Konerding Hazle |
| Credentials | MD |
| Telephone Number | 8042820831 |
NPI Number Detail
| NPI Number | 1013091115 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2014-09-03 |
Provider Mailing Address Detail
| Address | 7001 Forest Ave |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232301726 |
| Phone Number | 8042820831 |
| Fax Number | 8042887135 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 101238054 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB6342 | VA | RAILROAD MEDICARE | |
| 3118456 | VA | AETNA GROUP NO. | |
| 57917 | VA | ANTHEM GROUP NO. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Commonwealth Dermatology, Pc?
The Commonwealth Dermatology, Pc has been issued the NPI (National Provider Identifier) 1013091115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Commonwealth Dermatology, Pc is physically located?
The Commonwealth Dermatology, Pc is physically situated at the following address: 7001 Forest Ave, Richmond, VA, 232301726.
What is Commonwealth Dermatology, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Commonwealth Dermatology, Pc's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013091115 to Commonwealth Dermatology, Pc?
The Centers for Medicare & Medicaid Services assigned the 1013091115 to Commonwealth Dermatology, Pc on 2006-10-25.
As of what date were the details related to Commonwealth Dermatology, Pc most recently updated or revised?
The information pertaining to Commonwealth Dermatology, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-03.