NATIONAL DERMATOLOGY HEALTHCARE OF GEORGIA LLC (NPI# 1396009460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396009460 |
| Entity Type | Organization |
| Organization Name | NATIONAL DERMATOLOGY HEALTHCARE OF GEORGIA LLC |
| Practice Address |
8002 Gunn Hwy Tampa FL 33626-1603 |
| Practice Telephone | 8138807546 |
| Practice Fax Number | 8132495210 |
| Mailing Telephone | 8138807546 |
| Mailing Fax Number | 8132495210 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | DR. ROBERT A NORMAN (MANAGING PARTNER) |
| Authorized Official Telephone | 8138807546 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
8002 GUNN HWY |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559375 | Christopher John Carlisle | Physician Assistant | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2005-06-24 |
| 1245863562 | Jaclyn Jardine | Registered Nurse | 8002 Gunn Hwy, Tampa, FL 33626 | 2020-02-14 |
| 1750831780 | Regine Hargrett | Nurse Practitioner | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2016-10-14 |
| 1427448364 | Long Term Care Genetics LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2015-01-30 |
| 1114362936 | National Dermatology Healthcare of Louisiana LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-05-07 |
| 1124463104 | Dermatology Healthcare LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-05-06 |
| 1275871808 | National Dermatology Healthcare of Oklahoma LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-01-16 |
| 1144567934 | National Dermatology Healthcare of California LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-01-14 |
| 1427395490 | National Dermatology Healthcare of South Carolina LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-01-11 |
| 1922345941 | National Dermatology Healthcare of Texas LLC | Dermatology | 8002 Gunn Hwy, Tampa, FL 33626-1603 | 2013-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| 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 |
|---|---|---|---|---|
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1578927596 | Lombardi Institute of Dermatology | Dermatology | 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 | 2016-04-06 |
| 1275909806 | Dermatology Network of Florida, LLC | Dermatology | 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 | 2015-08-18 |
| 1225424740 | Lisa Marie Diaz | Dermatology | 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 | 2015-04-10 |
| 1053702134 | Robert R. Tawil | Dermatology | 3741 W Neptune St, Tampa, FL 33629-5118 | 2015-02-11 |
| 1013317460 | Scott Forrester Lindsey | Dermatology | 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 | 2014-09-03 |
| 1619317575 | Jonathan Lopez | Dermatology | 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 | 2013-06-25 |
| 1619151479 | C Lance Kane Md Pa | Dermatology | 505 S Habana Ave, Tampa, FL 33609 | 2007-12-28 |
| 1730362112 | Amanda Brooke Sergay | Dermatology | 310 S Macdill Ave, Tampa, FL 33609-3142 | 2007-12-09 |
| 1649362112 | Gisela Torres-bonilla | Dermatology | 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 | 2006-09-29 |
| Find all providers in TAMPA | ||||
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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.