AMY A VAUGHAN DERMATOLOGY PLLC (NPI# 1154411908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154411908 |
| Entity Type | Organization |
| Organization Name | AMY A VAUGHAN DERMATOLOGY PLLC |
| Practice Address |
6007 Us Rt 60 East Suite 130 Barboursville WV 25504 |
| Mailing Address |
Po Box 937 6007 Us Rt 60 E Suite 130 Barboursville WV 25504 |
| Practice Telephone | 3047333333 |
| Practice Fax Number | 3047333666 |
| Mailing Telephone | 3047333333 |
| Mailing Fax Number | 3047333666 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY A VAUGHAN (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 3047333333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
18579 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
6007 US RT 60 EAST SUITE 130 |
| City | BARBOURSVILLE |
| State | WV |
| Zip Code | 25504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417047242 | Ashley R Adkins Grimmett | Allergy & Immunology | 6007 Us Rt 60 East, Suite 130, Barboursville, WV 25504 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143115 | Jeff Thomas Slone | Technician | 3350 Holland Creek Road, Barboursville, WV 25504 | 2020-10-30 |
| 1134679061 | Ryan Young | Pharmacist | 6350 Us Route 60 East, Barboursville, WV 25504 | 2016-10-04 |
| 1447706361 | Jennifer M Bruce | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Rd. Suite E, Barboursville, WV 25504 | 2016-08-31 |
| 1528447794 | Susan Berry | Licensed Practical Nurse | 1 Ohanlon Place, Barboursville, WV 25504 | 2015-05-21 |
| 1902209067 | Eric W Kutcher | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road Suite E, Barboursville, WV 25504 | 2014-10-03 |
| 1275940843 | Alex G Smith | Nurse Anesthetist, Certified Registered | 5840 Davis Creek Road, Suite E, Barboursville, WV 25504 | 2014-07-16 |
| 1225451297 | Carol Newlon | Counselor | 689 Central Avenue, Barboursville, WV 25504 | 2014-01-28 |
| 1598003386 | Amy E Crabtree | Pharmacist | 6414 Us 60 East, Barboursville, WV 25504 | 2013-01-29 |
| 1538428669 | Amy Beth Cope | Physician Assistant | 6171 Childers Road, Barboursville, WV 25504 | 2012-05-09 |
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| Find all providers in zip 25504 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508167867 | Tara J. Robinson | Dermatology | 6007 U.S.rt 60 E., Suite 130, Barboursville, WV 25504 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679565 | Nuface Laser & Medispa LLC | Dermatology | 117 B Goff Mountain Rd, Cross Lanes, WV 25313-1434 | 2006-05-23 |
| 1740251545 | Richard Allen Hawkins | Dermatology | 5003a Venable Ave, Charleston, WV 25304-2042 | 2006-01-30 |
| 1831181304 | Jerry Mitchell Hahn | Dermatology | Rt 50 East, Sunrise Professional Building, Romney, WV 26757 | 2005-08-19 |
| 1497747398 | Hahn Medical Practices, Inc | Dermatology | Rt 50 E, Sunrise Professional Building, Romney, WV 26757 | 2005-08-17 |
| 1427040351 | Hahn Medical Practices, Inc | Dermatology | 325 Main Street, Wardensville, WV 26851 | 2005-08-17 |
| 1083606230 | Hahn Medical Practices, Inc. | Dermatology | 422 S Main St, Moorefield, WV 26836-1238 | 2005-08-15 |
| 1972560753 | Hahn Medical Practices, Inc | Dermatology | 22347 Northwestern Pike, East Sunrise Professional Building, Romney, WV 26757-6343 | 2006-04-27 |
| 1720089279 | Beckley Dermatology Inc. | Dermatology | 94 Brookshire Lane, Beckley, WV 25801-6765 | 2005-08-09 |
| City | BARBOURSVILLE |
| Zip Code | 25504 |
Please comment or provide details below to improve the information on AMY A VAUGHAN DERMATOLOGY PLLC.
| 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.