MARIO MITKOV (NPI# 1003226051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003226051 |
Entity Type | Individual |
Full Name | MARIO MITKOV |
Credential | MD |
Practice Address |
3107 Brassfield Rd Ste 300 Greensboro NC 27410-2074 |
Mailing Address |
1450 Professional Park Dr Ste 150 Winston Salem NC 27103-1307 |
Practice Telephone | 3365458133 |
Mailing Telephone | 3367242434 |
Mailing Fax Number | 3366078061 |
Enumeration Date | 2014-04-30 |
Last Update Date | 2019-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 0101266560 | VA | Allopathic & Osteopathic Physicians |
Y | 207N00000X | Dermatology | 2019-00501 | NC | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | ME124757 | FL | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101266560 | VA | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2019-00501 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1450 Professional Park Dr Ste 150, Winston Salem, NC 271031307 | 3367242434 | 3366078061 |
312 Fairy Street Ext Ste 201, Martinsville, VA 241121912 | 2766326496 |
Street Address |
3107 BRASSFIELD RD STE 300 |
City | GREENSBORO |
State | NC |
Zip Code | 27410-2074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
Find all providers in zip 27410 |
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 |
---|---|---|---|---|
1750439188 | Bruce Phillip Mccoy | Dermatology | 526 North Elam Avenue, Suite 201, Greensboro, NC 27403-1132 | 2007-01-08 |
1538236294 | Wayne G. Woods Md Pa | Dermatology | 719 Green Valley Rd Ste 203, Greensboro, NC 27408-7025 | 2006-11-29 |
1023105897 | John H Hall Jr Md Pa | Dermatology | 1305 W Wendover Avenue, Ste D, Greensboro, NC 27408 | 2006-10-05 |
1033195789 | Dermatology Specialists Pa | Dermatology | 510 N Elm Ave, Suite 303, Greensboro, NC 27403-1142 | 2005-12-15 |
1093799447 | Robert Nicholas Davis | Dermatology | 600 Walter Reed Dr, Greensboro, NC 27403-4541 | 2005-11-30 |
1013914910 | Robert G Goodrich | Dermatology | 2704 Saint Jude St, Greensboro, NC 27405-3670 | 2005-07-07 |
1962405647 | David E. Tart | Dermatology | 5704 Hidden Orchard Dr, Greensboro, NC 27410-2523 | 2005-05-24 |
1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
1003382839 | Bethany Medical Center | Dermatology | 3801 W Market St, Greensboro, NC 27407-1301 | 2018-10-19 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27410 |
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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.