ADVANCED DERMATOLOGY OF RHODE ISLAND, PC (NPI# 1386185759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386185759 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY OF RHODE ISLAND, PC |
| Practice Address |
1351 S County Trl Suite 302 East Greenwich RI 02818-5105 |
| Mailing Address |
151 Southhall Ln Suite 300 Maitland FL 32751-7176 |
| Practice Telephone | 4018865663 |
| Mailing Telephone | 4078752080 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | DAVID MORELL (PRESIDENT) |
| Authorized Official Telephone | 4078752080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
1351 S COUNTY TRL SUITE 302 |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055233 | Pamela Lauria | Nurse Practitioner | 1351 S County Trl, Suite 115, East Greenwich, RI 02818-5079 | 2005-09-29 |
| 1629699590 | Brandon Theroux | Physical Therapist | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2020-05-02 |
| 1427616432 | Maia Leigh Weisenfeld | Audiologist | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2019-06-04 |
| 1922530708 | Christopher Gothberg | Physical Therapist | 1351 S County Trl, Building 2, Suite 200, East Greenwich, RI 02818-5105 | 2017-03-30 |
| 1851846174 | Rachel Timmons | Audiologist | 1351 S County Trl, Bldg 3, Suite 303, East Greenwich, RI 02818-5105 | 2016-08-16 |
| 1346619418 | Kelsey Melucci | Audiologist | 1351 S County Trl, Building 3, Suite 304, East Greenwich, RI 02818-5105 | 2015-09-18 |
| 1194120741 | Ri Rheumatology Inc. | Internal Medicine | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2014-10-24 |
| 1033510425 | Lauren Chappell | Nurse Practitioner | 1351 S County Trl, East Greenwich, RI 02818-5105 | 2014-09-04 |
| 1407265390 | Greenwich Medical Associates Inc | Internal Medicine | 1351 S County Trl, Suite 215, East Greenwich, RI 02818-5105 | 2014-08-05 |
| 1649515313 | Dermatology Associates Inc | Dermatology | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| 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 |
|---|---|---|---|---|
| 1588082200 | Julia O. Baltz | Dermatology | 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 | 2014-03-31 |
| 1356583439 | Caroline Chang | Dermatology | 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 | 2009-04-03 |
| 1033192976 | Susan M Sweeney | Dermatology | 1672 S County Trl, 101, East Greenwich, RI 02818-5098 | 2005-11-23 |
| 1649515313 | Dermatology Associates Inc | Dermatology | 1351 S County Trl, Suite 302, East Greenwich, RI 02818-5105 | 2012-12-06 |
| 1528348521 | Robert K Dyer Md Dermatology LLC | Dermatology | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2011-08-22 |
| 1043599269 | John B Kelly IIi | Dermatology | 1672 S County Trl, East Greenwich, RI 02818-5098 | 2011-08-04 |
| 1447545603 | Thomas J Knackstedt | Dermatology | 1672 S County Trl, East Greenwich, RI 02818-5098 | 2011-06-16 |
| 1891085387 | Vincent Criscione | Dermatology | 3461 S County Trl, Suite 202, East Greenwich, RI 02818-1465 | 2011-04-18 |
| 1376864371 | Mohsin Kamal Malik | Dermatology | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 | 2010-06-14 |
| 1902040835 | Dermatology Professionals Inc. | Dermatology | 1672 S County Trl, East Greenwich, RI 02818-1629 | 2009-04-22 |
| Find all providers in EAST GREENWICH | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
Please comment or provide details below to improve the information on ADVANCED DERMATOLOGY OF RHODE ISLAND, PC.
| 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.