BAIN DERMATOLOGY, P.A. (NPI# 1740691674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740691674 |
| Entity Type | Organization |
| Organization Name | BAIN DERMATOLOGY, P.A. |
| Practice Address |
7200 Creedmoor Rd Suite 104 Raleigh NC 27613-1710 |
| Practice Telephone | 9195180999 |
| Practice Fax Number | 9195180939 |
| Mailing Telephone | 9195180999 |
| Mailing Fax Number | 9195180939 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | DR. EARL EUGENE BAIN III (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9195180999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2013-02484 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
7200 CREEDMOOR RD SUITE 104 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831178656 | Heidi L Schecodnic | Internal Medicine | 7200 Creedmoor Rd, Suite 208, Raleigh, NC 27613-1710 | 2006-01-10 |
| 1245771344 | Sarah Williams Youngblood | Nurse Practitioner | 7200 Creedmoor Rd, Raleigh, NC 27613-1710 | 2017-03-09 |
| 1174963854 | Lindsay Driver Clarke | Physician Assistant | 7200 Creedmoor Rd, Suite 104, Raleigh, NC 27612 | 2013-06-26 |
| 1396970539 | Earl Eugene Bain IIi | Dermatology | 7200 Creedmoor Rd, Suite 104, Raleigh, NC 27613-1710 | 2009-05-18 |
| 1730333261 | Robert T. Harris | Internal Medicine | 7200 Creedmoor Rd, Raleigh, NC 27613-1710 | 2008-11-11 |
| 1720137730 | Catherine M. Delbuono | Internal Medicine | 7200 Creedmoor Rd, Suite 208, Raleigh, NC 27613-1635 | 2007-01-09 |
| 1083660146 | Usha Rani Donthireddi | Internal Medicine | 7200 Creedmoor Rd, Suite 208, Raleigh, NC 27613-1710 | 2006-05-26 |
| 1508818873 | Jill A Schaeffer | Internal Medicine | 7200 Creedmoor Rd, Suite 208, Raleigh, NC 27613-1710 | 2006-05-16 |
| 1699735290 | Richard Joseph Schneider | Internal Medicine | 7200 Creedmoor Rd, Suite 208, Raleigh, NC 27613-1635 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1245751403 | Bluewater Dermatology and Skin Cancer Center Pa | Dermatology | 814 Spivey Rd, Whiteville, NC 28472-8736 | 2017-06-28 |
| 1831330893 | Landon Everett Stigall | Dermatology | 6752 Rock Spring Rd Ste 201, Wilmington, NC 28405 | 2009-03-20 |
| 1780772541 | Jenny L. Stone | Dermatology | 203 Mocksville Ave Ste B, Salisbury, NC 28144-3360 | 2006-10-10 |
| 1528035722 | Marc Ronald Carruth | Dermatology | 2615 E 7th St, Charlotte, NC 28204-4376 | 2006-03-07 |
| 1215902663 | Frederick Walter Gourdin | Dermatology | 78 Long Shoals Rd, Arden, NC 28704-7782 | 2006-02-21 |
| 1508846403 | Rajat Varma | Dermatology | 410 Market St Ste 400, Unc Dept of Dermatology, Chapel Hill, NC 27516-4061 | 2006-01-18 |
| 1437130523 | Greg Edwin Viehman | Dermatology | 710 Military Cutoff Rd, Suite 200, Wilmington, NC 28405-2375 | 2005-11-07 |
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1285636076 | Charles S Johnson | Dermatology | 315 19th St Se, Hickory, NC 28602-4230 | 2005-08-11 |
| 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.