FAMILY DERMATOLOGY OF NEBRASKA LLC (NPI# 1376831362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376831362 |
| Entity Type | Organization |
| Organization Name | FAMILY DERMATOLOGY OF NEBRASKA LLC |
| Practice Address |
2625 Stockwell St Lincoln NE 68502-5755 |
| Mailing Address |
40 Morris Ave Suite 150 Bryn Mawr PA 19010-3300 |
| Practice Telephone | 4024213335 |
| Practice Fax Number | 4024212625 |
| Mailing Telephone | 2155195487 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | PAULA M NELSON (OWNER) |
| Authorized Official Telephone | 4024213335 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
NE | Allopathic & Osteopathic Physicians | |
| Y | 207N00000X | Dermatology | NE | Allopathic & Osteopathic Physicians |
| Street Address |
2625 STOCKWELL ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437136405 | Jill S Rine | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2005-12-29 |
| 1639783665 | Courtney Mares | Physician Assistant | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2020-09-08 |
| 1578199782 | Rswb Skin LLC | Dermatology | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2020-03-19 |
| 1700984929 | Rodney S.w. Basler | Dermatology | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2006-09-20 |
| 1912005109 | Basler Skin LLC | Dermatology | 2625 Stockwell St, Lincoln, NE 68502-5755 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| 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 |
|---|---|---|---|---|
| 1982235883 | Dermatology Associates of Lincoln, LLC | Dermatology | 6969 South Street, Lincoln, NE 68506 | 2020-01-29 |
| 1619144003 | Casey Bowen | Dermatology | 6969 South St, Lincoln, NE 68506-2835 | 2008-05-14 |
| 1356407613 | Troy E Rustad, Md, Pa | Dermatology | 3334 Woodsshire Parkway, Lincoln, NE 68502 | 2006-12-29 |
| 1598838757 | Ann E Lott | Dermatology | 6406 Chesterfield Ct, Lincoln, NE 68510-2361 | 2006-11-16 |
| 1598863706 | Geoffrey Charles Basler | Dermatology | 2455 Pine Lake Road Suite 110, Lincoln, NE 68512-3612 | 2006-09-20 |
| 1295785525 | Brian Jean Herbin | Dermatology | 2455 Pine Lake Rd Ste 110, Lincoln, NE 68512-3665 | 2006-05-10 |
| 1417946484 | Mark D Heibel | Dermatology | 7701 Preserve Ln, Lincoln, NE 68516-4473 | 2005-10-20 |
| 1326036112 | Rex F Largen | Dermatology | 5533 S 27th Street, Suite 103, Lincoln, NE 68512-1664 | 2005-10-06 |
| 1558354407 | Daniel Evan Viders | Dermatology | 3 Wake Robin Rd Unit 5, Lincoln, RI 02865 | 2005-08-25 |
| 1003815101 | Stuart Paul Westburg | Dermatology | 2756 O St, Lincoln, NE 68510-1341 | 2005-07-20 |
| Find all providers in LINCOLN | ||||
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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.