DERMASAP PLLC (NPI# 1477937480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477937480 |
| Entity Type | Organization |
| Organization Name | DERMASAP PLLC |
| Practice Address |
500 Congress St B1 Quincy MA 02169-0908 |
| Practice Telephone | 6174726764 |
| Mailing Telephone | 6174726764 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | STACI GOODWIN (OM) |
| Authorized Official Telephone | 6174726764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 49076 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 043214763 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DERMASAP PLLC | 500 Congress St., Suite B1, Quincy, MA 02169 |
| Street Address |
500 CONGRESS ST B1 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200324 | Jeanne C Benoit | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2005-07-28 |
| 1407362577 | Donna M Osis | Hearing Instrument Specialist | 500 Congress St, Quincy, MA 02169-0908 | 2017-12-27 |
| 1497106389 | Valeria Duque | Audiologist | 500 Congress St, Suite 2j, Quincy, MA 02169-0908 | 2016-06-22 |
| 1518337062 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
| 1427428978 | Atrius Health, Inc. | Nutritionist | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-09-28 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| 1568854008 | Commonwealth Plastic Surgery LLC | Surgery | 500 Congress St, Suite B1, Quincy, MA 02169-0908 | 2015-02-20 |
| 1760804603 | Maria Mamakos | Nurse Practitioner | 500 Congress St, Quincy, MA 02169-0908 | 2014-01-13 |
| 1730527474 | Antoin Johnsen Deschrijver | Student in an Organized Health Care Education/Training Program | 500 Congress St, Suite 2h, Quincy, MA 02169 | 2013-06-04 |
| 1033470117 | Barbara Nankin | Dentist | 500 Congress St, Suite 2d, Quincy, MA 02169-0908 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1801048921 | Katie Brouillard O'brien | Dermatology | 36 Adams Street, Quincy, MA 02169 | 2008-10-21 |
| 1942406210 | Associates of South Shore Dermatology | Dermatology | 5oo Congress St, 2h, Quincy, MA 02169 | 2007-06-25 |
| 1013122167 | William J. Hanshaw, M.d., P.C. | Dermatology | 903 Vermont St, Quincy, IL 62301-3049 | 2007-05-11 |
| 1629003686 | Elise Bilodeau Mccarthy | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2006-07-11 |
| 1902870876 | William J Hanshaw | Dermatology | 903 Vermont Street, Quincy, IL 62301 | 2006-02-15 |
| 1750862611 | Sara Balakrishnan | Dermatology | 36 Adams St, Quincy, MA 02169-2002 | 2018-08-28 |
| 1467932251 | Integrated Dermatology of Massachusetts, LLC | Dermatology | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2018-08-21 |
| 1962899534 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2015-04-22 |
| 1558756759 | Atrius Health, Inc. | Dermatology | 500 Congress St, Suite 3c, Quincy, MA 02169-0908 | 2015-04-03 |
| 1710387386 | Associates of South Shore Dermatology LLC | Dermatology | 300 Congress St, Ste 408, Quincy, MA 02169-0907 | 2014-09-02 |
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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.