INTEGRATED DERMATOLOGY OF MASHTON, LLC (NPI# 1164069647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164069647 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DERMATOLOGY OF MASHTON, LLC |
| Practice Address |
800 Falmouth Rd Ste 101 Mashpee MA 02649-3303 |
| Mailing Address |
4700 Exchange Ct Ste 110 Boca Raton FL 33431-4450 |
| Practice Telephone | 5084770391 |
| Mailing Telephone | 5613142000 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | ADAM S PLOTKIN (AUTHORIZED GROUP OFFICIAL) |
| Authorized Official Telephone | 5613142000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
800 FALMOUTH RD STE 101 |
| City | MASHPEE |
| State | MA |
| Zip Code | 02649-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457817348 | Emily Hannah Minakin | Physician Assistant | Community Health Center of Cape Cod, 107 Commercial Street, Mashpee, MA 02649 | 2019-02-15 |
| 1790278018 | Westwind Counseling & Wellness, LLC | Counselor | 681 Falmouth Rd Ste A20c, Mashpee, MA 02649 | 2018-06-11 |
| 1790151967 | Katie Justine Wallace | Nurse Practitioner | Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649 | 2015-08-11 |
| 1972847689 | Kara M Blackwell | Licensed Practical Nurse | 12 Pine Grove Circle, Mashpee, MA 02649 | 2012-11-19 |
| 1992001457 | Mashpee Service Unit/indian Health Service | Clinic/Center | 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 | 2011-02-01 |
| 1306178066 | Pamela W Brighton | Counselor | Mashpee Common 2 Oak St., Center for Family Therapy, Mashpee, MA 02649 | 2010-02-05 |
| 1063743524 | Shana M Truel | Counselor | 477 Main Street, Mashpee, MA 02649 | 2010-01-22 |
| 1376718197 | Christopher Joseph Salvo | Pediatrics | 107 Commercial St., Mashpee, MA 02649 | 2008-04-23 |
| 1215111489 | Joyce Teir Hosford | Speech-Language Pathologist | 418-88 Quinaquisset Ave., Mashpee, MA 02649 | 2007-12-24 |
| 1225218092 | Emily Davern | Social Worker | 107 Commerical St, Mashpee, MA 02649 | 2007-11-09 |
| Find all providers in zip 02649 | ||||
| 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 |
|---|---|---|---|---|
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| 1902329832 | Abeer Alsarheed | Dermatology | 30 Dalton St Apt 1510, Boston, MA 02115-3178 | 2017-07-23 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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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.