GENESIS DERMATOLOGY (NPI# 1801093661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
Street Address |
600 HERITAGE DR SUITE 100 |
City | JUPITER |
State | FL |
Zip Code | 33458-3000 |
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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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 |
Find all providers in zip 33458 |
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 |
---|---|---|---|---|
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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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.