THE DERMATOLOGY CLINIC PA (NPI# 1720611635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720611635 |
| Entity Type | Organization |
| Organization Name | THE DERMATOLOGY CLINIC PA |
| Practice Address |
1710 Malvern Ave Hot Springs AR 71901-7132 |
| Mailing Address |
3633 Central Ave Ste N Hot Springs AR 71913-6475 |
| Practice Telephone | 5016236100 |
| Practice Fax Number | 5016233403 |
| Mailing Telephone | 5016236100 |
| Mailing Fax Number | 5016233403 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MR. ADAM S STIBICH (OWNER/ PROVIDER/ PHYSICIAN) |
| Authorized Official Telephone | 5016236100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE DERMATOLOGY CLINIC PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 120956002 | 05 |
| Other Name | Type Code |
|---|---|
| The Dermatology Clinic PA-Malvern Ave Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020852 | The Dermatology Clinic Pa | Dermatology | 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 | 2005-08-19 |
| Street Address |
1710 MALVERN AVE |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-7132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382958 | Jack Aldrich Cates | Dermatology | 1710 Malvern Ave, Hot Springs, AR 71901-7132 | 2005-08-10 |
| 1306996145 | Jack A. Cates, M.d.p.a. | Dermatology | 1710 Malvern Ave, Hot Springs, AR 71901-7132 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| 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 |
|---|---|---|---|---|
| 1528667672 | Prime Medical Group Pllc | Dermatology | 315 Section Line Rd Ste A&b, Hot Springs, AR 71913-6480 | 2020-10-20 |
| 1558373845 | Rapid City Medical Center LLP | Dermatology | 130 N 15th St, Hot Springs, SD 57747-1316 | 2006-08-13 |
| 1043276439 | Rebecca L. Gartner | Dermatology | 3633 Central Ave., Ste N., Hot Springs, AR 71913-6475 | 2006-04-25 |
| 1750382958 | Jack Aldrich Cates | Dermatology | 1710 Malvern Ave, Hot Springs, AR 71901-7132 | 2005-08-10 |
| 1093715047 | Adam Stefan Stibich | Dermatology | 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 | 2005-07-29 |
| 1306996145 | Jack A. Cates, M.d.p.a. | Dermatology | 1710 Malvern Ave, Hot Springs, AR 71901-7132 | 2007-01-12 |
| 1225023773 | Martin Lewis Johnson | Dermatology | 3633 Central Ave, Suite N, Hot Springs, AR 71913-6475 | 2005-09-12 |
| 1225020852 | The Dermatology Clinic Pa | Dermatology | 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 | 2005-08-19 |
| 1831199884 | Dowling Bluford Stough Iv | Dermatology | 3633 Central Ave, Ste N, Hot Springs, AR 71913-6404 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677737 | Prime Medical Group Pllc | Dermatology | 1416 W 43rd Ave, Pine Bluff, AR 71603-7010 | 2020-10-20 |
| 1790384808 | Prime Medical Group Pllc | Dermatology | 625 United Dr Ste 320, Conway, AR 72032-7828 | 2020-10-20 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1487064473 | Laura Raquel Battle | Dermatology | 500 South 52nd Street, Rogers, AR 72758-7275 | 2014-04-30 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1801215751 | Allison Noel Hood | Dermatology | 9601 Baptist Health Drive Suite 860, Little Rock, AR 72205 | 2014-04-08 |
| 1710229141 | Mallory Hurst | Dermatology | 800 S Church St Ste 202, Jonesboro, AR 72401 | 2013-03-24 |
| 1720333990 | Vivian Shi | Dermatology | 4018 W Capitol Ave, Little Rock, AR 72205 | 2012-07-13 |
| 1295098440 | Garrett James Nelson | Dermatology | 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205-6328 | 2012-06-22 |
| 1922398577 | Megan Suzanne Evans | Dermatology | 1 Childrens Way # 576, Little Rock, AR 72202-3500 | 2011-04-17 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71901 |
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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.