AMANDA DAGGETT (NPI# 1457706434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457706434 |
| Entity Type | Individual |
| Full Name | AMANDA DAGGETT |
| Practice Address |
1434 Chester Blvd Richmond IN 47374-1947 |
| Mailing Address |
8700 Beverly Blvd #5512 Los Angeles CA 90048 |
| Practice Telephone | 7659661600 |
| Practice Fax Number | 7659629641 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01084596A | IN | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 321999 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Beverly Blvd #5512, Los Angeles, CA 90048 | 6015724327 |
| Street Address |
1434 CHESTER BLVD |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888955 | Rohit Bawa | Otolaryngology | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2005-06-01 |
| 1689231664 | Gina N Goodman | Nurse Practitioner | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2019-05-24 |
| 1871993485 | Stacy Borden | Audiologist | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2014-09-02 |
| 1427491984 | Leigh Grace Stone | Dermatology | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2013-04-15 |
| 1538456462 | Jason Evan Casselman | Internal Medicine | 1434 Chester Blvd, Reid Ent, Richmond, IN 47374-1947 | 2011-06-29 |
| 1386881456 | Kristy L Carter | Physician Assistant | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2009-01-12 |
| 1750531950 | Laura Lea Fragomeni | Audiologist | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-09-24 |
| 1326297284 | Reid Physician Associates, Inc. | Internal Medicine | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-09-16 |
| 1598927485 | Amber Sadenwater Wolsiefer | Audiologist | 1434 Chester Blvd, Reid Ent, Richmond, IN 47374-1947 | 2008-07-01 |
| 1205009842 | Deanna Lynne Taylor | Physician Assistant | 1434 Chester Blvd, Richmond, IN 47374-1947 | 2008-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1811211592 | Adam A Martin | Dermatology | 6946 Forest Ave Ste 200, Richmond, VA 23230-1701 | 2010-03-24 |
| 1114153285 | Brigitte Ullrich | Dermatology | 8715 Higginbotham Pl, Richmond, VA 23229-7935 | 2009-06-03 |
| 1972773745 | Laser & Skin Surgery Center of Richmond PC | Dermatology | 7001 Forest Ave., Suite 301, Richmond, VA 23230-1724 | 2008-03-07 |
| 1366631038 | Shelley K. Hoover, M.d., PC | Dermatology | 8600 Staples Mill Rd, Richmond, VA 23228-2719 | 2007-10-18 |
| 1891997433 | Jon Mark Igelman | Dermatology | 3113 Devon Drive, Richmond, IN 47374-9750 | 2007-06-05 |
| 1316907371 | Hazel J Vernon | Dermatology | 7001 Forest Ave Ste 300, Richmond, VA 23230-1726 | 2006-03-24 |
| 1346225802 | Christopher Robert Gorman | Dermatology | 420 Libbie Avenue, Richmond, VA 23226 | 2005-12-07 |
| 1215921390 | Dwight D. Smith | Dermatology | 180 Glenwood Dr, Richmond, IN 47374-3565 | 2005-09-06 |
| 1669466819 | Christopher Timberlake Aleman | Dermatology | 10710 Midlothian Tpke Ste 401, Richmond, VA 23235-4723 | 2005-09-02 |
| Find all providers in RICHMOND | ||||
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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.