DR. STEPHEN LEGRANDE VANCE (NPI# 1821403247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821403247 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LEGRANDE VANCE |
| Credential | M.D. |
| Practice Address |
5 First Village Dr Pinehurst NC 28374-9495 |
| Mailing Address |
Po Box 2000 Pinehurst NC 28374-2000 |
| Practice Telephone | 9102956831 |
| Practice Fax Number | 9102950244 |
| Mailing Telephone | 9102956831 |
| Mailing Fax Number | 9102950244 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2019-00658 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295709053 | Stephen C. Vance | Psychiatry & Neurology | 260 California Dr, 3e, Yountville, CA 94599-1412 | 2006-02-16 |
| 1215909379 | Stephen Glenn Vance | Psychiatry & Neurology | 21 Montauk Ave, New London, CT 06320-4906 | 2006-02-03 |
| 1043210875 | Stephen R Vance | Physical Therapist | 275 Bath Rd, Suite 2, Brunswick, ME 04011-2671 | 2005-07-22 |
| 1154341345 | Stephen Granville Vance | Family Medicine | 603 N 6th Ave, Dillon, SC 29536-2503 | 2006-07-20 |
| Street Address |
5 FIRST VILLAGE DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-9495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423170 | Lorraine Mayer-wolpert Berman | Surgery | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2005-11-09 |
| 1700493731 | Zachary Lilly | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2020-09-24 |
| 1114574431 | Hannah Hailey Olliff | Audiologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-08-21 |
| 1659836500 | Psc Commercial Bundle, LLC | Case Management | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2019-02-05 |
| 1215447834 | Ashton Nanette Wedemeyer | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-10-10 |
| 1992244040 | Nadya Lally | Nurse Practitioner | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2017-02-21 |
| 1407202153 | Sarah Beth Mulhaul | Social Worker | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-12 |
| 1427403047 | Stefanie Jo Mansfield | Specialist/Technologist | 5 First Village Dr, Pinehurst, NC 28374-9495 | 2016-05-02 |
| 1902274459 | Travis Lee Huffman | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2015-09-14 |
| 1679941124 | Katherine Mehry Tahamtan | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374 | 2015-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| 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 |
|---|---|---|---|---|
| 1942713052 | Vieta Dermatology, Pllc | Dermatology | 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 | 2017-11-10 |
| 1235324344 | Pinehurst Skin Surgery Center Pllc | Dermatology | 289 Olmsted Blvd, Suite 5, Pinehurst, NC 28374-8729 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134123847 | Audrey F Echt | Dermatology | 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 | 2005-06-09 |
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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.