DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY PSC (NPI# 1629197397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629197397 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ASSOCIATES OF NORTHERN KENTUCKY PSC |
| Practice Address |
7766 Ewing Blvd Ste 100 Florence KY 41042-7538 |
| Practice Telephone | 8592831033 |
| Practice Fax Number | 8592831066 |
| Mailing Telephone | 8592831033 |
| Mailing Fax Number | 8592831066 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-12-04 |
| Authorized Official Name | DR. JAMES A ZALLA (PRESIDENT) |
| Authorized Official Telephone | 8592831033 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA ID | 18D0324336 | 01 |
| Street Address |
7766 EWING BLVD STE 100 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-7538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324927 | Barbara Lehman | Registered Nurse | 7766 Ewing Blvd, Su. L, Florence, KY 41042-7537 | 2005-08-26 |
| 1902227366 | Mae Dinn | Physician Assistant | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7537 | 2014-01-02 |
| 1598003832 | Pinnacle One Dental Group | Clinic/Center | 7766 Ewing Blvd, Floor 3, Florence, KY 41042-7537 | 2013-01-22 |
| 1376832188 | Sabra Marie Abner | Dermatology | 7766 Ewing Blvd, Suite 100, Florence, KY 41042-7538 | 2011-04-01 |
| 1669611653 | Ria Asistin Santos | Family Medicine | 7766 Ewing Blvd, Florence, KY 41042-7537 | 2009-02-13 |
| 1972742963 | Oliver James Benes | Family Medicine | 7766 Ewing Blvd, Florence, KY 41042 | 2009-02-13 |
| 1013156108 | Elizabeth N Velazquez | Family Medicine | 7766 Ewing Blvd, Suite L, Florence, KY 41042-7537 | 2009-02-12 |
| 1518137843 | Kristin Dietz Kennedy | Nurse Practitioner | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7537 | 2008-03-03 |
| 1609995091 | James A Zalla | Dermatology | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7538 | 2007-03-28 |
| 1073632733 | Susan J Bushelman | Dermatology | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7538 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801326814 | Mcleod Physician Associates II | Dermatology | 401 E Cheves St Ste 302, Florence, SC 29506-2615 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927576 | Associate In Dermatology and Dermatopathology Pllc | Dermatology | 1700 Old Bluegrass Ave Ste 200, Louisville, KY 40215-1174 | 2012-10-17 |
| 1649479460 | Jacqueline Granese | Dermatology | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2007-07-12 |
| 1386619203 | James Robert Wharton | Dermatology | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2006-02-22 |
| 1023094646 | Vilma C Fabre | Dermatology | 2211 Greene Way, Ste 100, Louisville, KY 40220-4076 | 2005-12-15 |
| 1255851200 | Regional Dermatology Pllc | Dermatology | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2017-06-21 |
| 1023409612 | Dermatopathology Consultants of Kentucky Pllc | Dermatology | 2211 Greene Way, Suite 100, Louisville, KY 40220-4076 | 2015-02-18 |
| 1770781254 | Soon Bahrami | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2007-07-06 |
| 1083736557 | Harty Elouise Ashby | Dermatology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-04-04 |
| 1487758983 | Scheen & Smith, P.s.c. | Dermatology | 3950 Kresge Way, Suite 305, Louisville, KY 40207-4637 | 2006-09-13 |
| 1013925106 | Skin Group Pllc | Dermatology | 2211 Greene Way, Ste 100, Louisville, KY 40220-4076 | 2006-08-04 |
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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.