CENTER CITY DERMATOLOGY LLC (NPI# 1841522380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841522380 |
| Entity Type | Organization |
| Organization Name | CENTER CITY DERMATOLOGY LLC |
| Practice Address |
1500 Walnut St Ste 1240 Philadelphia PA 19102-3523 |
| Mailing Address |
2813 Ogden St Philadelphia PA 19130-1152 |
| Practice Telephone | 2676874437 |
| Practice Fax Number | 2676874438 |
| Mailing Telephone | 2676874437 |
| Mailing Fax Number | 2676874438 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | SENA J LEE (OWNER) |
| Authorized Official Telephone | 2676874437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD428450 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1500 WALNUT ST STE 1240 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275571093 | David Louis Wagman | Chiropractor | 1500 Walnut St, Mz 05, Philadelphia, PA 19102-3523 | 2006-06-03 |
| 1043833437 | Emory Dabney | Homemaker | 1500 Walnut St, Philadelphia, PA 19102-3523 | 2020-05-20 |
| 1346893542 | Dermot Patrick Curtin | Counselor | 1500 Walnut St, Philadelphia, PA 19102-3523 | 2019-07-17 |
| 1164886255 | The Offices of Heather Goldner Kinsey, LLC | Marriage & Family Therapist | 1500 Walnut St, Suite 305, Philadelphia, PA 19102-3523 | 2016-04-05 |
| 1326411430 | Nicole Lepera | Psychologist | 1500 Walnut St, Suite 700n, Philadelphia, PA 19102-3523 | 2015-11-11 |
| 1588032056 | Yogology, LLC | Marriage & Family Therapist | 1500 Walnut St, Suite 305, Philadelphia, PA 19102-3523 | 2015-09-14 |
| 1245615178 | Kristin C Hillier | Counselor | 1500 Walnut St, Suite 507, Philadelphia, PA 19102-3523 | 2015-07-21 |
| 1518356237 | Balance Nutritional Health & Wellness, LLC | Dietitian, Registered | 1500 Walnut St, Suite 700, Philadelphia, PA 19102-3523 | 2015-01-19 |
| 1598153140 | Lindsay Marie Bauer | Marriage & Family Therapist | 1500 Walnut St, 305, Philadelphia, PA 19102-3523 | 2015-01-06 |
| 1902231541 | Caitlin Deborah Cantor | Social Worker | 1500 Walnut St, Suite 700, Philadelphia, PA 19102-3523 | 2013-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| 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 |
|---|---|---|---|---|
| 1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
| 1083061048 | Brandon Rowe | Dermatology | 1316 W Ontario St Fl 1, Philadelphia, PA 19140-5220 | 2016-05-19 |
| 1942647078 | Jason Marc Schoenfeld | Dermatology | 9501 Roosevelt Blvd Ste 506, Philadelphia, PA 19114-1030 | 2013-05-30 |
| 1588890669 | Philippe Lafaille | Dermatology | 1200 Locust Street, Philadelphia, PA 19107 | 2009-06-03 |
| 1194950683 | Jisun Cha | Dermatology | 833 Chestnut St Ste 740, Philadelphia, PA 19107-4409 | 2009-05-27 |
| 1962546952 | Susan C. Taylor | Dermatology | 932 Pine St, Philadelphia, PA 19107-6128 | 2007-02-16 |
| 1194833590 | Harold Farber | Dermatology | 9892 Bustleton Avenue, Ste 204 Moss Plaza, Philadelphia, PA 19115 | 2006-08-26 |
| 1770599839 | Seana Patrice Covello | Dermatology | 621 Pine St, Philadelphia, PA 19106-4108 | 2006-07-31 |
| 1528080512 | Kenneth E Wasserman Md PC | Dermatology | 1817 South Broad St, Philadelphia, PA 19148-2115 | 2006-07-25 |
| 1811947351 | James R Treat | Dermatology | 3550 Market St Fl 2, Children's Hospital of Philadelphia - Dermatology Div, Philadelphia, PA 19104-3366 | 2006-05-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.