UDERM, PLLC (NPI# 1255938502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255938502 |
| Entity Type | Organization |
| Organization Name | UDERM, PLLC |
| Practice Address |
5243 Little Debbie Pkwy Ste 111 Ooltewah TN 37363-4515 |
| Practice Telephone | 4232062777 |
| Practice Fax Number | 4232062772 |
| Mailing Telephone | 4232062777 |
| Mailing Fax Number | 4232062772 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | DR. JONATHAN ALLEN MILLER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4232062777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Uderm - Dermatology & Mohs Surgery | Other Name - Individual/Organization |
| Street Address |
5243 LITTLE DEBBIE PKWY STE 111 |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346637048 | Jonathan Allen Miller | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| 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 |
|---|---|---|---|---|
| 1346637048 | Jonathan Allen Miller | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964274 | Harpeth Valley Dermatology Pllc | Dermatology | 741 President Pl Ste 140, Smyrna, TN 37167-6808 | 2020-05-27 |
| 1538717202 | Christopher Reeder | Dermatology | 6453 Drumright Rd, College Grove, TN 37046-9142 | 2019-08-27 |
| 1346719085 | Skinmd Center Pllc | Dermatology | 751 Walnut Knoll Lane, Suite 2, Cordova, TN 38018-6301 | 2018-11-23 |
| 1467968859 | Outreach Clinics Unlimited Pllc | Dermatology | 1627 Old Gray Station Rd Ste 4, Johnson City, TN 37615-4193 | 2017-12-20 |
| 1295289114 | Firstcare Dermatology of Lawrenceburg, Pllc | Dermatology | 1002 N Locust Ave, Lawrenceburg, TN 38464-2707 | 2016-08-09 |
| 1790158012 | Joseph Prohaska | Dermatology | 1907 W Morris Blvd Ste G, Morristown, TN 37813-3866 | 2015-11-09 |
| 1073909156 | Neelam Patel | Dermatology | 470 Jones Rd, Clarksville, TN 37043-4005 | 2015-04-15 |
| 1013315373 | Robert J Kaplan, Md Pllc | Dermatology | 6401 Poplar Ave Ste 330, Memphis, TN 38119-4806 | 2014-12-18 |
| 1538575709 | Emily Dell | Dermatology | 1009 N State of Franklin Rd, Johnson City, TN 37604 | 2014-07-08 |
| 1073932141 | Lee Wheless | Dermatology | 719 Thompson Lane Suite 26300, Nashville, TN 37232 | 2014-04-15 |
| 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.