PINNACLE DERMATOLOGY, SC (NPI# 1861930984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861930984 |
| Entity Type | Organization |
| Organization Name | PINNACLE DERMATOLOGY, SC |
| Practice Address |
1124 Essington Rd Joliet IL 60435-8423 |
| Practice Telephone | 8157448554 |
| Practice Fax Number | 8157443969 |
| Mailing Telephone | 8157448554 |
| Mailing Fax Number | 8157443969 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | DR. JOSE L RIOS (VICE-PRESIDENT) |
| Authorized Official Telephone | 6303889033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 036109103 | IL | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036108932 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology & Plastic Surgery Associates, SC | Doing Business As Name - Organization |
| Street Address |
1124 ESSINGTON RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841252426 | Laurel Melissa Poole | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-04-06 |
| 1598039711 | Monika D Kaniszewska | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2012-03-06 |
| 1194010157 | Blake M Troiani | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-06-17 |
| 1114216363 | Bernardino Michael Mendez | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2011-03-28 |
| 1295946473 | Kimberly Ann Bauer | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2007-05-27 |
| 1821166505 | Teryn Elizabeth Honeycutt | Physician Assistant | 1124 Essington Rd, Joliet, IL 60435-8446 | 2006-12-01 |
| 1700987328 | Dermatology and Plastic Surgery Associates, S.c. | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-09-26 |
| 1699888644 | Jose Luis Rios | Plastic Surgery | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| 1437262482 | Paula Kaye Lapinski | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1437262482 | Paula Kaye Lapinski | Dermatology | 1124 Essington Rd, Joliet, IL 60435-8423 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374270 | Lilly Aesthetics Sc | Dermatology | 2500 S Highland Ave Ste 220, Lombard, IL 60148-7103 | 2019-12-23 |
| 1194270637 | University Dermatology and Vein Clinic LLC | Dermatology | 8110 Cass Ave, Darien, IL 60561-5013 | 2016-08-24 |
| 1174984959 | Advanced Skin and Mohs Surgery Center S.c. | Dermatology | 2845 N. Sheridan Road, Ste 912, Chicago, IL 60657 | 2016-03-08 |
| 1376915629 | Forefront Dermatology, S.c. | Dermatology | 1520 Bond St, Naperville, IL 60563 | 2015-10-27 |
| 1710294756 | Tracy Campbell Md LLC | Dermatology | 675 W North Ave Ste 506, Melrose Park, IL 60160-1626 | 2010-09-13 |
| 1932388865 | Marsh Dermatology, Sc | Dermatology | 1252 American Way, Libertyville, IL 60048-3936 | 2007-10-27 |
| 1538200308 | Omeed Memar | Dermatology | 50 E Washington St Ste 200, Chicago, IL 60602-2154 | 2007-02-12 |
| 1891721965 | Aleksandar L Krunic | Dermatology | 5140 N California Ave Ste 660, Chicago, IL 60625-3664 | 2006-06-23 |
| 1073595690 | Ashish C Bhatia | Dermatology | 550 E Devon Ave Ste 200, Itasca, IL 60143-2639 | 2005-11-18 |
| 1538153960 | Sharon Louise Horton | Dermatology | 1049 E Wilson St, Suite 190, Batavia, IL 60510-2474 | 2005-08-31 |
| Find all providers with the same taxonomy | ||||
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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.