MARIO MITKOV


Address: 3107 Brassfield Rd Ste 300, Greensboro, NC 27410-2074
Phone: 3365458133

MARIO MITKOV (NPI# 1003226051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

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

Office Location

Street Address 3107 BRASSFIELD RD STE 300
City GREENSBORO
State NC
Zip Code 27410-2074

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GREENSBORO
Zip Code 27410

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Dataset Information

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.

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