SKIN WELLNESS PHYSICIANS, LLC (NPI# 1538500988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538500988 |
| Entity Type | Organization |
| Organization Name | SKIN WELLNESS PHYSICIANS, LLC |
| Practice Address |
85 Herrick St Beverly Hospital Oncology Center Beverly MA 01915-1790 |
| Mailing Address |
660 Washington St Apt 21h Boston MA 02111-3200 |
| Practice Telephone | 9785247933 |
| Mailing Telephone | 6178724652 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Authorized Official Name | KAVITHA REDDY (OWNER) |
| Authorized Official Telephone | 6178724652 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
243807 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275952244 | Skin Wellness Physicians, LLC | Dermatology | 8625 Collier Blvd, Naples, FL 34114-3550 | 2014-04-07 |
| Street Address |
85 HERRICK ST BEVERLY HOSPITAL ONCOLOGY CENTER |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829423 | John Hallock Oldershaw | Radiology | 85 Herrick St, Beverly, MA 01915-1776 | 2005-05-31 |
| 1730791880 | Alexandria Margerison | Advanced Practice Midwife | 85 Herrick St, Beverly, MA 01915-1790 | 2020-08-20 |
| 1447862438 | Jennifer Ashley Dellemonico | Registered Nurse | 85 Herrick St, Beverly, MA 01915-1790 | 2020-08-20 |
| 1982229688 | Rebecca Lee Landry | Social Worker | 85 Herrick St, Beverly, MA 01915-1790 | 2020-06-09 |
| 1679121719 | Christine Phyllis Bertoli | Pharmacist | 85 Herrick St, Beverly, MA 01915-1790 | 2019-09-02 |
| 1871154112 | Thu Anh Nguyen | Registered Nurse | 85 Herrick St, Beverly, MA 01915-1790 | 2019-06-26 |
| 1881255453 | Chelsea Perrin | Advanced Practice Midwife | 85 Herrick St, Beverly, MA 01915-1790 | 2019-06-25 |
| 1588134332 | Kaitlin Marie Sears | Nurse Practitioner | 85 Herrick St, Beverly, MA 01915-1777 | 2018-12-04 |
| 1578048161 | Milly Canela | Dietitian, Registered | 85 Herrick St, Beverly, MA 01915-1777 | 2018-09-28 |
| 1942781612 | Pamela E Lucci | Social Worker | 85 Herrick St, Beverly, MA 01915-1777 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341362 | Gary Mendese, Md, LLC | Dermatology | 23 Centennial Dr, Peabody, MA 01960-7901 | 2020-06-23 |
| 1053811430 | Leigh Melanson-adams | Dermatology | 382 Lowell St, Wakefield, MA 01880-1972 | 2018-02-13 |
| 1578073128 | Karen Carreiro | Dermatology | 775 Davol St Ste 3, Fall River, MA 02720-1028 | 2017-10-10 |
| 1225458185 | Prasanthi Kandula | Dermatology | 1244 Boylston St, Chestnut Hill, MA 02467 | 2014-04-18 |
| 1689012510 | Dennis Anthony Porto | Dermatology | 1 Maple Street, 2nd Floor, Milford, MA 01757 | 2013-06-13 |
| 1518204353 | Newton Watertown Dermatology Associates | Dermatology | 280 Washington St, Suite #212, Brighton, MA 02135-3511 | 2013-01-14 |
| 1922373018 | Frank R Vleugels | Dermatology | 221 Longwood Ave, Boston, MA 02115-5804 | 2012-03-21 |
| 1174729628 | Dermatology Consultants At Newton-wellesley PC | Dermatology | 2000 Washington St, B120, Newton Lower Falls, MA 02462-1602 | 2007-06-22 |
| 1093919078 | Dermatology and Laser Center of Western Mass Inc | Dermatology | 75 Post Office Park, Suite 7501, Wilbraham, MA 01095-1188 | 2007-06-13 |
| 1760698187 | Ayer Dermatology P.C. | Dermatology | 190 Groton Rd, Ayer, MA 01432-1124 | 2007-05-15 |
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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.