ADVANCED DERMATOLOGY OF CHARLOTTESVILLE


Address: 600 Peter Jefferson Pkwy, Suite 350, Charlottesville, VA 22911-8835
Phone: 4349770027

ADVANCED DERMATOLOGY OF CHARLOTTESVILLE (NPI# 1588791255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588791255
Entity Type Organization
Organization Name ADVANCED DERMATOLOGY OF CHARLOTTESVILLE
Practice Address 600 Peter Jefferson Pkwy
Suite 350
Charlottesville
VA 22911-8835
Mailing Address 66 Parkway Ln
Suite 101 C
Fishersville
VA 22939-2384
Practice Telephone 4349770027
Practice Fax Number 4349782040
Mailing Telephone 4349770027
Mailing Fax Number 4349782040
Enumeration Date 2007-02-28
Last Update Date 2018-06-21
Authorized Official Name DR. VANDANA S NANDA (OWNER)
Authorized Official Telephone 4349770027
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 06-00006615 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 221022 01
VA SOUTHERN HEALTH 413137 01

Office Location

Street Address 600 PETER JEFFERSON PKWY
SUITE 350
City CHARLOTTESVILLE
State VA
Zip Code 22911-8835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891781373 Sandhya Chhabra Internal Medicine 600 Peter Jefferson Pkwy, Suite 200, Charlottesville, VA 22911-8835 2005-09-21
1205292794 Myeyedr Optometry of Virginia, Pllc Optometrist 600 Peter Jefferson Pkwy, Charlottesville, VA 22911-8835 2016-01-13
1700208402 Charlottesville Gynecology, A Division of Anchor Healthcare, Plc Obstetrics & Gynecology 600 Peter Jefferson Pkwy, Suite 200, Charlottesville, VA 22911-8835 2014-01-15
1922264696 Patricia Cheeks Clinical Nurse Specialist 600 Peter Jefferson Pkwy, Memb-, Charlottesville, VA 22911-8835 2008-08-01
1164699740 Ines W Soukoulis Dermatology 600 Peter Jefferson Pkwy, Suite 230, Charlottesville, VA 22911-8835 2008-05-13
1588837645 Jacob Conrad Meyer Ophthalmology 600 Peter Jefferson Pkwy, Suite 350, Charlottesville, VA 22911-8835 2008-04-10
1609097930 Christine O Wamhoff Specialist 600 Peter Jefferson Pkwy, Suite 290, Charlottesville, VA 22911-8835 2007-05-02
1992820955 Selvi Sriranganathan Genetic Counselor, MS 600 Peter Jefferson Pkwy, Suite 190, Charlottesville, VA 22911-8835 2007-03-20
1184749160 Fotini Vavelidis Genetic Counselor, MS 600 Peter Jefferson Pkwy, Suite 190, Charlottesville, VA 22911-8835 2007-03-20
1154487031 Emily B Huffstetler Obstetrics & Gynecology 600 Peter Jefferson Pkwy, Suite 290, Charlottesville, VA 22911-8835 2006-12-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760840912 Hearing At Home Hearing Instrument Specialist 103 Free Brige Ln, Charlottesville, VA 22911 2016-02-03
1649637752 Ebony Cosby Contractor 2500 Boulders Rd, Charlottesville, VA 22911 2016-01-20
1629452727 Ahmed M Murtuza Pharmacist 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 2015-07-17
1083093231 Kimberly P Tran Dentist 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 2015-05-20
1508252982 Alexandra M Bender Family Medicine 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 2015-04-13
1538599980 Commonwealth Dental Anesthesiology Inc Clinic/Center 1460-b Pantops Mountain Place, Charlottesville, VA 22911 2013-11-21
1831386606 Hudson Chiropractic P.C. Chiropractor 103-a Free Bridge Lane, Charlottesville, VA 22911 2007-09-26
1386863421 Laura P Smith Specialist 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 2007-04-25
1609928621 Bl Enterprises, LLC Physical Therapist 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 2007-01-18
1972660959 Kenneth I. Barron Obstetrics & Gynecology 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 2007-01-02
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295281624 Noura Abdullah Alturaif Specialist 135 Hospital Drive Cobb Hl Rm 1031e, Uva, Department of Medicine, Charlottesville, VA 22908-0001 2016-08-26
1245605120 James H Stewart Specialist 302 Hickman Rd Ste 202, Charlottesville, VA 22911-3572 2015-12-03
1548650716 Blue Ridge Heart and Vascular Specialist 300 Hickman Rd Ste 202, Charlottesville, VA 22911-3554 2015-01-27
1366853012 Dustin T Money Specialist University of Virginia Medical Ctr, 1215 Lee Street, Charlottesville, VA 22908-0134 2014-05-15
1982977633 Jea Catherine Brickwedde Specialist 716 Rio Rd W, Fa, Charlottesville, VA 22901 2012-02-10
1063731701 Jane Bielefeld Specialist 123 Buckingham Cir, Charlottesville, VA 22903-2909 2010-05-20
1770738205 Andrew J. Buda Specialist 500 Ray Hunt Dr, Charlottesville, VA 22903 2008-11-25
1649429978 Seamus Looby Specialist University of Virginia, Department of Radiology, Charlottesville, VA 22908-0001 2008-09-10
1386863421 Laura P Smith Specialist 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 2007-04-25
1053411256 Pamela Kathleen Stover Specialist 1522 Insurance Ln # B, Charlottesville, VA 22911-7229 2006-09-25
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Competitor

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City CHARLOTTESVILLE
Zip Code 22911

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Dataset Information

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.

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