DELMARVA SKIN PA (NPI# 1255818522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255818522 |
| Entity Type | Organization |
| Organization Name | DELMARVA SKIN PA |
| Practice Address |
38394 Dupont Blvd Unit Fg Selbyville DE 19975-3049 |
| Mailing Address |
12444 Collins Rd Bishopville MD 21813-1546 |
| Practice Telephone | 3025640001 |
| Mailing Telephone | 2815136332 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | DR. SARA MOGHADDAM (PHYSICIAN) |
| Authorized Official Telephone | 3025640001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | C1-0011369 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
38394 DUPONT BLVD UNIT FG |
| City | SELBYVILLE |
| State | DE |
| Zip Code | 19975-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023528841 | Coastal Care Physical Therapy Inc | Physical Therapist | 6 Ellis Alley, Unit 6, Selbyville, DE 19975 | 2017-10-06 |
| 1376805861 | Michael Anthony Sabol | Physical Therapist | 37464 Lion Dr, Unit 4, Selbyville, DE 19975 | 2012-06-12 |
| 1609023092 | Brandywine Assisted Living At Fenwick Island, LLC | Assisted Living Facility | 21111 Arrington Drive, Selbyville, DE 19975 | 2008-08-27 |
| 1932394368 | Harris Teeter, LLC | Pharmacy | 31221 Americana Pkwy, Selbyville, DE 19975 | 2007-09-10 |
| 1568511939 | Nhu Le Tran | Acupuncturist | 38394 Dupont Blvd, Suite H, Selbyville, DE 19975 | 2007-01-08 |
| 1700856507 | Advanced Alert L.L.C. | Durable Medical Equipment & Medical Supplies | 37854 Swann Drive, Selbyville, DE 19975 | 2006-01-24 |
| 1124628615 | Dynamic Therapy Services, LLC | Occupational Therapist | 37464 Lion Dr, Ste 4, Selbyville, DE 19975 | 2020-10-26 |
| 1902367311 | Helen Banaken Serrano | Occupational Therapist | 6 Ellis Alley, Unit 6, Selbyville, DE 19975 | 2019-03-28 |
| 1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
| 1609202944 | Kelly O Cooper | Speech-Language Pathologist | 31 Hosier St, Selbyville, DE 19975 | 2013-09-18 |
| Find all providers in zip 19975 | ||||
| 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 |
|---|---|---|---|---|
| 1013203462 | Sara Moghaddam | Dermatology | 39394 Dupont Blvd, Selbyville, DE 19175-3040 | 2011-06-23 |
| 1124259254 | Curtis Dane Asbury | Dermatology | 38394 Dupont Blvd, Unit H, Selbyville, DE 19975 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568922672 | Delmarva Dermatology, LLC | Dermatology | 32895 Coastal Hwy # 102a, Bethany Beach, DE 19930-3782 | 2019-03-24 |
| 1568878361 | Jessica A Mccarrick | Dermatology | 517 S Dupont Blvd, Milford, DE 19963-1757 | 2014-07-01 |
| 1124464201 | Gina M Caputo | Dermatology | 537 Stanton Christiana Rd Ste 207, Newark, DE 19713 | 2013-05-16 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1285896829 | Matthew Russell Hanson | Dermatology | 537 Stanton Christiana Road, Siute 107, Apex Medical Center, Newark, DE 19713-0000 | 2008-06-25 |
| 1063682078 | Patricia Richards | Dermatology | Wilmington Vamc, 1601 Kirkwood Highway, Wilmington, DE 19805 | 2008-03-05 |
| 1871646919 | Burke Dermatology, Pa | Dermatology | 774 Christiana Rd Ste 107, Newark, DE 19713-4248 | 2007-01-20 |
| 1548321714 | Joseph F Andrews | Dermatology | 737 S Queen St, Suite 1, Dover, DE 19904-3529 | 2006-12-12 |
| 1225128614 | Elizabeth F,. Masten | Dermatology | 509 Lakeview Ave, Milford, DE 19963-2917 | 2006-10-13 |
| 1699785451 | Eric J Oliet | Dermatology | 800 Delaware Avenue, Wilmington, DE 19801-1322 | 2006-08-08 |
| Find all providers with the same taxonomy | ||||
| City | SELBYVILLE |
| Zip Code | 19975 |
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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.