ITHACA DERMATOLOGY PLLC (NPI# 1790979417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790979417 |
| Entity Type | Organization |
| Organization Name | ITHACA DERMATOLOGY PLLC |
| Practice Address |
821 Cliff Street Ithaca NY 14850 |
| Mailing Address |
202 Taughannock Blvd Po Box 366 Ithaca NY 14851 |
| Practice Telephone | 6072567546 |
| Practice Fax Number | 6072560049 |
| Mailing Telephone | 6072774035 |
| Mailing Fax Number | 6072773888 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | DR. KIMBERLY SILVERS (OWNER) |
| Authorized Official Telephone | 6072567546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 220803 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
821 CLIFF STREET |
| City | ITHACA |
| State | NY |
| Zip Code | 14850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508076191 | Kimberly Silvers | Dermatology | 821 Cliff Street, Ithaca, NY 14850-0000 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| 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 |
|---|---|---|---|---|
| 1154687945 | Diana Marie Stephens | Dermatology | 1020 Craft Rd Ste A, Ithaca, NY 14850-1016 | 2012-04-05 |
| 1598097644 | Lodewijk Anton Magre | Dermatology | 228 Berkshire Rd, Ithaca, NY 14850-1420 | 2010-01-30 |
| 1063684579 | Rachel Garner | Dermatology | 821 Cliff St Ste 2, Ithaca, NY 14850-2097 | 2008-03-25 |
| 1508076191 | Kimberly Silvers | Dermatology | 821 Cliff Street, Ithaca, NY 14850-0000 | 2007-05-23 |
| 1275197964 | Catherine Thompson | Dermatology | 2333 N Triphammer Rd Ste 203, Ithaca, NY 14850-1075 | 2019-04-28 |
| 1023559598 | Cayuga Dermatology, Pllc | Dermatology | 821 Cliff St, Suite 2, Ithaca, NY 14850-2097 | 2017-03-16 |
| 1609170992 | Josephine C. Mcallister, M.d., LLC | Dermatology | 2333 N Triphammer Rd, Suite 203, Ithaca, NY 14850-1082 | 2011-01-01 |
| 1396062121 | Robert T. Horn, Jr., M.d. | Dermatology | 2333 N Triphammer Rd, Suite 203, Ithaca, NY 14850-1082 | 2010-05-04 |
| 1679609317 | Josephine C Mcallister | Dermatology | 2333 N Triphammer Rd, Suite 203, Ithaca, NY 14850-1082 | 2007-02-26 |
| 1922083641 | Robert Trail Horn Jr. | Dermatology | 2333 N Triphammer Rd, Ste 203, Ithaca, NY 14850-1082 | 2005-12-15 |
| Find all providers in ITHACA | ||||
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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.