GENESIS DERMATOLOGY


Address: 600 Heritage Dr, Suite 100, Jupiter, FL 33458-3000
Phone: 5612965222

GENESIS DERMATOLOGY (NPI# 1801093661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801093661
Entity Type Organization
Organization Name GENESIS DERMATOLOGY
Practice Address 600 Heritage Dr
Suite 100
Jupiter
FL 33458-3000
Practice Telephone 5612965222
Practice Fax Number 5612965221
Mailing Telephone 5612965222
Mailing Fax Number 5612965221
Enumeration Date 2007-06-27
Last Update Date 2012-02-21
Authorized Official Name SHAWNA FLANAGAN (OWNER)
Authorized Official Telephone 5612965222
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Office Location

Street Address 600 HERITAGE DR
SUITE 100
City JUPITER
State FL
Zip Code 33458-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932104049 Brett A. Osborn Neurological Surgery 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 2005-06-15
1316334840 Brett A Osborn Do Pllc Neurological Surgery 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 2015-04-22
1316375447 Vartan Mardirossian Md Plc Otolaryngology 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3000 2013-10-29
1881948677 Mcm Accountable Care Organization LLC Family Medicine 600 Heritage Dr, Suite 105, Jupiter, FL 33458-3000 2012-11-01
1760761340 New York Society for The Relief of The Ruptured and Crippled Maintaini General Acute Care Hospital 600 Heritage Dr, Suite 110, Jupiter, FL 33458-3000 2011-08-12
1255644613 Northwest Center for Infertility and Reproductive Endocrinology Specialist 600 Heritage Dr, Suite 200, Jupiter, FL 33458-3000 2010-07-14
1629307400 Jacob J. Freiman, M.d., P.a. Clinic/Center 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3097 2009-12-08
1013141712 Jacob J. Freiman Plastic Surgery 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3000 2009-05-08
1518106913 Gardens Vision Center P.a. Eyewear Supplier (Equipment, not the service) 600 Heritage Dr, Suite 120, Jupiter, FL 33458-3000 2009-02-10
1821237322 Palm Beach Institute of Plastic and Reconstructive Surgery Plastic Surgery 600 Heritage Dr, Ste 220, Jupiter, FL 33458-3000 2009-02-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538780978 Palm Beach Concierge Pt, LLC Physical Therapist 1166 Egret Cir S, Jupiter, FL 33458 2020-04-27
1346714789 Shirley Dumas Gilbert Counselor 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 2019-01-18
1326518986 Donald George Williams Jr. Pharmacist 5500 Military Trail, Jupiter, FL 33458 2018-11-27
1306329693 William A Tison IIi Physician Assistant 2055 Military Trail Suite 204, Jupiter, FL 33458 2018-09-12
1588146930 Joanna Peros Psychologist 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 2018-09-02
1528558301 Brian Pratt Registered Nurse 871 University Blvd Apt 207, Jupiter, FL 33458 2018-05-16
1306352133 Katherine Janis Rivera Nurse Anesthetist, Certified Registered Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 2017-12-15
1992235436 Barborka Schmidt Pharmacist 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 2017-06-18
1114453834 Elite-e Counseling Social Worker 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 2017-05-02
1669910667 Kristy Lee Caronia Nurse Anesthetist, Certified Registered 175 Edenberry Ave, Jupiter, FL 33458 2017-02-09
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740787183 Paige Wells Dermatology 4600 Military Trl Ste 107, Jupiter, FL 33458-4811 2018-04-11
1033319769 Richard Mayron Dermatology 1095 Military Trail, # 2700, Jupiter, FL 33468 2007-07-20
1972723294 Kristen Marie Aloupis Dermatology 2141 S Alternate A1a Ste 430, Jupiter, FL 33477-4063 2007-04-27
1629610415 Aloupis Dermatology, Pa Dermatology 2141 S Alternate A1a Ste 430, Jupiter, FL 33477-4063 2019-10-13
1124531439 Beer Dermatology Associates Pa Dermatology 641 University Blvd, Suite 212, Jupiter, FL 33458 2017-11-08
1467907105 Group M Dermatology Pa Dermatology 2101 S Us Highway 1, Jupiter, FL 33477-7321 2016-08-23
1477870459 John Paul Kowalczyk Dermatology 4495 Military Trl, Suite 204, Jupiter, FL 33458-4839 2010-04-29
1306012745 Peter A Vitulli Jr D O P A Dermatology 4600 Military Trl, Suite 107, Jupiter, FL 33458-4810 2008-05-06
1447218276 Peter Andrew Vitulli Jr. Dermatology 4600 Military Trl, Suite 107, Jupiter, FL 33458-4810 2006-05-02
1760455646 Warren Stuart Zwecker Dermatology 4495 Military Trl, Suite 204, Jupiter, FL 33458-4839 2006-02-09
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City JUPITER
Zip Code 33458

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Dataset Information

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.

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