AESTHETIC DERMATOLOGY, PC (NPI# 1639313489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639313489 |
| Entity Type | Organization |
| Organization Name | AESTHETIC DERMATOLOGY, PC |
| Practice Address |
960 Sanders Rd Suite 300 Cumming GA 30041-5962 |
| Practice Telephone | 7702050104 |
| Practice Fax Number | 7702050975 |
| Mailing Telephone | 7702050104 |
| Mailing Fax Number | 7702050975 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | TRISHA DALEY (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 7702050104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 059398 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
960 SANDERS RD SUITE 300 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014246 | Trisha N Daley | Dermatology | 960 Sanders Rd, Suite 300, Cumming, GA 30041-5962 | 2005-09-23 |
| 1720596422 | Lisa V Robinson | Nurse Practitioner | 960 Sanders Rd, Cumming, GA 30041 | 2018-01-16 |
| 1902290679 | Ehi Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 960 Sanders Rd, Ste. 100, Cumming, GA 30041-5962 | 2015-03-20 |
| 1639427487 | Village Podiatry Group, LLC. | Podiatrist | 960 Sanders Rd, Ste. 100, Cumming, GA 30041-5962 | 2012-08-28 |
| 1851609069 | Village Podiatry Group, LLC | Podiatrist | 960 Sanders Rd, Ste.100, Cumming, GA 30041-5962 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1346344405 | Naga Bhavani Meduri | Dermatology | 1400 Northside Forsyth Drive, Suite 350, Kaiser Permanente Forsyth Medical Center, Cumming, GA 30041 | 2006-09-11 |
| 1124014246 | Trisha N Daley | Dermatology | 960 Sanders Rd, Suite 300, Cumming, GA 30041-5962 | 2005-09-23 |
| 1841852076 | Cleaver Medical Group Dermatology Inc | Dermatology | 105 Professional Park Dr, Cumming, GA 30040-2381 | 2019-07-09 |
| 1871882225 | Nathan Jerome Cleaver | Dermatology | 105 Professional Park Dr, Cumming, GA 30040-2381 | 2011-04-06 |
| 1609091289 | Horace A Saunders | Dermatology | 1505 Northside Blvd., Suite 1500, Cumming, GA 30041 | 2007-04-17 |
| 1306826490 | Alexander S Gross | Dermatology | 1505 Northside Blvd, Suite 1500, Cumming, GA 30041-7623 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686058 | Worldwide Medical Healthcare Inc | Dermatology | 790 Church St Ne Ste 300, Marietta, GA 30060-8902 | 2020-10-09 |
| 1972142891 | Worldwide Medical Distributor, LLC | Dermatology | 3780 Old Norcross Rd Ste 103, Duluth, GA 30096-1762 | 2019-12-23 |
| 1932762218 | Laura Quinn Biehle | Dermatology | 5730 Glenridge Dr Ste T100, Atlanta, GA 30328-5747 | 2019-04-22 |
| 1003479254 | Kiley Katherine Fagan | Dermatology | 775 Aronson Lake Ct, Roswell, GA 30075-7172 | 2019-04-15 |
| 1346700127 | Gerald Chotiner | Dermatology | 2887 Gant Qtrs. Circle, Marietta, GA 30068-3719 | 2019-03-20 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1154890564 | Sidney Adele Brown-caggiano | Dermatology | 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135-7542 | 2018-11-14 |
| 1194209163 | Live Oak Dermatology | Dermatology | 135 Norcross St # 8, Roswell, GA 30075-3867 | 2018-09-17 |
| 1942780994 | Skyn Clinic & Apothecary | Dermatology | 1150 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-1903 | 2018-08-20 |
| 1649750688 | Zola Nemorin | Dermatology | 1500 Peachtree Industrial Blvd Ste 165, Suwanee, GA 30024-8490 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
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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.