MRS. KIMBERLY INGRAM SODERBERG (NPI# 1386786697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386786697 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY INGRAM SODERBERG |
| Credential | MD |
| Practice Address |
3176 Holland Rd Suite 103 Virginia Beach VA 23453-2637 |
| Practice Telephone | 7573687546 |
| Practice Fax Number | 7573683376 |
| Mailing Telephone | 7573687546 |
| Mailing Fax Number | 7573683376 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101241129 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523598 | Kimberly Erin Soderberg | Speech-Language Pathologist | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2020-06-19 |
| Street Address |
3176 HOLLAND RD SUITE 103 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| 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 |
|---|---|---|---|---|
| 1396007787 | Tara S Buehler-bota | Dermatology | 1248 Perimeter Pkwy Ste 482, Virginia Beach, VA 23454-5914 | 2012-06-12 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1154652345 | Jennifer Lynn Pike | Dermatology | 1200 First Colonial Rd Ste 200m, Virginia Beach, VA 23454-2207 | 2010-01-27 |
| 1295810398 | Ken J Tompkins Md PC | Dermatology | 1157 First Colonial Road, Suite 300, Virginia Beach, VA 23454 | 2006-10-26 |
| 1366550196 | Beatrix K Edmonds | Dermatology | 5249 Providence Road, Virginia Beach, VA 23464-4201 | 2006-08-29 |
| 1659313773 | Laser Skin & Vein Center of Virginia | Dermatology | 933 First Colonial Road S, 113, Virginia Beach, VA 23454 | 2006-06-12 |
| 1356309736 | Kenneth J Tompkins | Dermatology | 1157 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2432 | 2006-05-03 |
| 1558333658 | Michele Jane Gonzalez | Dermatology | Atlantic Dermatology Associates, 1101 First Colonial Rd., Suite 200, Virginia Beach, VA 23454-2409 | 2006-02-02 |
| 1487630653 | Jonathan Lee Hindman | Dermatology | 1101 First Colonial Rd, Suite 200, Virginia Beach, VA 23454-2409 | 2005-12-20 |
| 1366423212 | Bruce C Dundon Md Ltd | Dermatology | 1020 Independence Boulevard, Suite 312, Virginia Beach, VA 23455-5503 | 2005-11-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on MRS. KIMBERLY INGRAM SODERBERG.
| 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.