TAMARA S HOUSMAN


Address: 3811 Ed Dr., Suite 110, Raleigh, NC 27612-8106
Phone: 9193900200

TAMARA S HOUSMAN (NPI# 1952492548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952492548
Entity Type Individual
Full Name TAMARA S HOUSMAN
Credential MD
Practice Address 3811 Ed Dr.
Suite 110
Raleigh
NC 27612-8106
Mailing Address 3811 Ed Drive
Suite 110
Raleigh
NC 27612-8106
Practice Telephone 9193900200
Practice Fax Number 9193900219
Mailing Telephone 9193900200
Mailing Fax Number 9193900219
Enumeration Date 2006-09-27
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 200001428 NC Allopathic & Osteopathic Physicians
N 207N00000X Dermatology MD27163 OR Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
200001428 NC Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD27163 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR RR MEDICARE P00443443 01

Office Location

Street Address 3811 ED DR.
SUITE 110
City RALEIGH
State NC
Zip Code 27612-8106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881864411 Raleigh Skin Surgery Center Dermatology 3811 Ed Dr., 110, Raleigh, NC 27612-8106 2008-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538714068 George J Henderon Orthotist 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 2019-08-01
1902399223 Iain Knox Nathaniel Irwin Marriage & Family Therapist 7701 Alborz Dr, Raleigh, NC 27612 2018-06-12
1225525884 Patterns Behavioral Services North Carolina, Inc Assistant Behavior Analyst 3738 National Dr, Ste 110, Raleigh, NC 27612 2018-04-19
1053820720 The Art Counseling L.L.C. Psychologist 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 2017-09-26
1376052431 Amanda Steed Speech-Language Pathologist 5519 Hamstead Crossing, Raleigh, NC 27612 2017-09-21
1295250991 Neal H. Patel Dds Pllc Dentist 7211 Shellburne Dr, Raleigh, NC 27612 2017-08-03
1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
1780072975 Harris Teeter LLC Pharmacy 2051 W. Millbrook Road, Raleigh, NC 27612 2014-12-23
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134123847 Audrey F Echt Dermatology 10931 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6499 2005-06-09
1740691674 Bain Dermatology, P.a. Dermatology 7200 Creedmoor Rd, Suite 104, Raleigh, NC 27613-1710 2014-05-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942713052 Vieta Dermatology, Pllc Dermatology 289 Olmsted Blvd Ste 5, Pinehurst, NC 28374-8730 2017-11-10
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
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City RALEIGH
Zip Code 27612

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Dataset Information

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.

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