INNOVA DERMATOLOGY PC (NPI# 1801362231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801362231 |
| Entity Type | Organization |
| Organization Name | INNOVA DERMATOLOGY PC |
| Practice Address |
105 Maple Row Blvd Hendersonville TN 37075-3853 |
| Practice Telephone | 6152663376 |
| Practice Fax Number | 4849188506 |
| Mailing Telephone | 6152663376 |
| Mailing Fax Number | 4849188506 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | DR. MARGARET WING-YAN MANN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152663376 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
105 MAPLE ROW BLVD |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972697654 | Daniel Lewis Popkin | Dermatology | 105 Maple Row Blvd, Hendersonville, TN 37075-3853 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| 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 |
|---|---|---|---|---|
| 1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| 1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
| 1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1184608416 | Julie M Pena | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2005-11-30 |
| 1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| 1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.