BECKLEY DERMATOLOGY INC. (NPI# 1891267936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891267936 |
| Entity Type | Organization |
| Organization Name | BECKLEY DERMATOLOGY INC. |
| Practice Address |
1110 Professional Ct Ste 201 Hagerstown MD 21740-5945 |
| Mailing Address |
136 Linden Dr Ste 104 Winchester VA 22601-6900 |
| Practice Telephone | 2407076920 |
| Practice Fax Number | 2407076926 |
| Mailing Telephone | 5406783588 |
| Mailing Fax Number | 5406789025 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |
| Authorized Official Name | NELSON E. VELAZQUEZ (OWNER) |
| Authorized Official Telephone | 3042522673 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | BECKLEY DERMATOLOGY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Associates & Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479056 | Beckley Dermatology Inc. | Dermatology | 300 Kenton Dr Ste 2, Charleston, WV 25311-1266 | 2018-12-31 |
| 1275005316 | Beckley Dermatology Inc. | Dermatology | 1000 Tavern Rd Ste 400, Martinsburg, WV 25401-2853 | 2018-12-31 |
| 1942772082 | Beckley Dermatology Inc. | Dermatology | 1401 Hospital Dr Ste 101, Hurricane, WV 25526-9239 | 2018-12-31 |
| 1740752880 | Beckley Dermatology Inc. | Dermatology | 300 Prosperity Ln Ste 207, Logan, WV 25601-3743 | 2018-12-31 |
| 1568076180 | Beckley Dermatology Inc. | Dermatology | 150 E 2nd Ave, Williamson, WV 25661-3602 | 2020-09-01 |
| 1578035606 | Beckley Dermatology Inc. | Dermatology | 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 | 2018-12-31 |
| 1720089279 | Beckley Dermatology Inc. | Dermatology | 94 Brookshire Lane, Beckley, WV 25801-6765 | 2005-08-09 |
| Street Address |
1110 PROFESSIONAL CT STE 201 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1093940181 | Kirk M Volker | Dermatology | 1165 Imperial Dr, Suite 200, Hagerstown, MD 21740-6555 | 2009-05-19 |
| 1992870703 | Drs Rumbarger and Schiro Pa | Dermatology | 11110 Medical Campus Rd, Suite 123, Hagerstown, MD 21742-6700 | 2006-11-21 |
| 1467435032 | Tara Ann Rumbarger | Dermatology | 11110 Medical Campus Rd, Suite 123, Hagerstown, MD 21742-6700 | 2005-11-28 |
| 1437132008 | James Anthony Schiro | Dermatology | 11110 Medical Campus Rd, Suite 123, Hagerstown, MD 21742-6700 | 2005-11-28 |
| 1407857469 | Paul C Waldman | Dermatology | 354 Mill St, Hagerstown, MD 21740-6138 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748508 | Mana Dermatology LLC | Dermatology | 7500 Greenway Center Dr Ste 1220, Greenbelt, MD 20770-3502 | 2020-10-20 |
| 1922615509 | Dr. G Laser and Med Spa LLC | Dermatology | 11089 Resort Rd, Ellicott City, MD 21042-2073 | 2020-09-28 |
| 1669099321 | Consonant Healing Associates of De LLC | Dermatology | 909 Ridgebrook Rd Ste 220, Sparks, MD 21152-9476 | 2020-06-29 |
| 1366074023 | Consonant Healing, LLC | Dermatology | 1370 Lamberton Dr Ste 16, Silver Spring, MD 20902-3422 | 2020-02-10 |
| 1366900235 | Sarah Herdeman | Dermatology | 173 Saint Patricks Dr Ste 201, Waldorf, MD 20603-5531 | 2019-03-08 |
| 1710450408 | Givonshy Smith | Dermatology | 10478 Campus Way S # 185, Upper Marlboro, MD 20774-1304 | 2019-01-06 |
| 1679040208 | Ebony Nelson | Dermatology | 6031 Liberty Rd, Gwynn Oak, MD 21207-6206 | 2018-11-01 |
| 1184129975 | Swetcha Lankapalli | Dermatology | 45 Thomas Johnson Dr Ste 209, Frederick, MD 21702-4490 | 2018-03-26 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1598111254 | Alyssa Klein | Dermatology | 1447 York Rd Ste 301, Lutherville Timonium, MD 21093-6022 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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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.