PREMIER DERMATOLOGY, LLC (NPI# 1417357922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417357922 |
| Entity Type | Organization |
| Organization Name | PREMIER DERMATOLOGY, LLC |
| Other Organization Name | PENNIE DERMATOLOGY & SKIN SURGERY CENTER, LLC |
| Practice Address |
900 Pine Street 122 / 123 Englewood FL 34233-0000 |
| Mailing Address |
3328 Bee Ridge Rd Sarasota FL 34239-7213 |
| Practice Telephone | 9414748811 |
| Mailing Telephone | 9414748811 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | MICHAEL FRANKS (COO) |
| Authorized Official Telephone | 9543338887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| pennie dermatology & skin surgery center, llc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528468014 | Premier Dermatology, LLC | Dermatology | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 | 2014-09-03 |
| 1437559929 | Premier Dermatology, LLC | Dermatology | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 | 2014-09-03 |
| 1114327848 | Premier Dermatology, LLC | Dermatology | 7400 S Tamiami Trl, Sarasota, FL 34231-7006 | 2014-08-29 |
| 1700202298 | Premier Dermatology, LLC | Dermatology | 3328 Bee Ridge Rd, Sarasota, FL 34239-7213 | 2014-03-09 |
| Street Address |
900 PINE STREET 122 / 123 |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34233-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1376088757 | Cayley Miles | Behavioral Analyst | 5224 Station Way, Sarasota, FL 34233 | 2016-12-21 |
| 1386014660 | Sarah Ashley Somai | Pharmacist | 5804 Centergate Village, Sarasota, FL 34233 | 2015-09-30 |
| 1760864458 | Kristin Elizabeth Kemper | Chiropractor | 5560 Bee Ridge Rd Ste D7, Sarasota, FL 34233 | 2015-06-18 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1396179891 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 5432 Bee Ridge Rd Ste 170, Sarasota, FL 34233 | 2013-09-03 |
| 1093064180 | Robert Bateyko, Md Chartered | Internal Medicine | 5664 Bee Ridge Road, Suite #101, Sarasota, FL 34233 | 2012-09-05 |
| 1871855874 | Katharina Bayer-haase | Counselor | 4047 Bee Ridge Rd, Suite C, Sarasota, FL 34233 | 2012-06-14 |
| 1053686881 | Leigh Goodman | Occupational Therapist | 4073 Bee Ridge Rd., Sarasota, FL 34233 | 2012-03-13 |
| 1407155740 | Jay Steven Frye | Physical Therapist | 5432 Bee Ridge Rd Ste 110, Sarasota, FL 34233 | 2011-03-25 |
| Find all providers in zip 34233 | ||||
| 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 |
|---|---|---|---|---|
| 1326521576 | Kaitlyn Laurel Pell | Dermatology | 125 Inverness Dr E Ste 340, Englewood, CO 80112-5139 | 2018-09-13 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| 1093819369 | Kimberly C Stone | Dermatology | 3701 S Clarkson St, Ste 300, Englewood, CO 80113-3960 | 2006-09-08 |
| 1063493898 | Chang Bae Son | Dermatology | 200 Grand Ave 201, Englewood, NJ 07631-4363 | 2005-11-09 |
| 1134691058 | Dawson Dermatology Group Pllc | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113-2780 | 2018-12-18 |
| 1811472111 | Englewood Dermatology Center | Dermatology | 300 Grand Ave Ste 201, Englewood, NJ 07631-6300 | 2018-10-02 |
| 1104274919 | Forefront Dermatology, S.c. | Dermatology | 5 W Wenger Rd, Englewood, OH 45322 | 2016-06-02 |
| 1922341783 | Jisun Cha Md | Dermatology | 460 Sylvan Ave, Englewood, NJ 07632-2919 | 2013-03-30 |
| 1497010250 | Tanya Nicole Riddle | Dermatology | 3701 S Clarkson St Ste 400, Englewood, CO 80113-3960 | 2012-07-09 |
| 1558620385 | Michelle Pennie Md LLC | Dermatology | 900 Pine St, Ste 122-123, Englewood, FL 34223-4418 | 2012-05-14 |
| Find all providers in ENGLEWOOD | ||||
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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.