CORNERSTONE DERMATOLOGY, PC (NPI# 1982736385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982736385 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE DERMATOLOGY, PC |
| Practice Address |
923 Russell Dr Lebanon PA 17042-7487 |
| Practice Telephone | 7172709004 |
| Practice Fax Number | 7172701677 |
| Mailing Telephone | 7172709004 |
| Mailing Fax Number | 7172701677 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | DR. DANIEL G ZAVADAK (PRESIDENT) |
| Authorized Official Telephone | 7172709004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD055106L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
923 RUSSELL DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745747 | Daniel G Zavadak | Dermatology | 923 Russell Dr, Lebanon, PA 17042-7487 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1528124195 | Kyle Leland Horner | Dermatology | 2500 S. Main Road, Lebanon, OR 97355 | 2006-12-28 |
| 1861555419 | Charles A. Mitchell | Dermatology | 206 Babb Dr # B, Lebanon, TN 37087-2508 | 2006-12-18 |
| 1205897840 | Judy Y Hu | Dermatology | 1405 Baddour Pkwy, Suite 101, Lebanon, TN 37087-2595 | 2006-03-31 |
| 1598745747 | Daniel G Zavadak | Dermatology | 923 Russell Dr, Lebanon, PA 17042-7487 | 2006-01-21 |
| 1063409845 | Charles Austin Mitchell Jr. | Dermatology | 206b Babb Dr, Lebanon, TN 37087-2508 | 2005-10-05 |
| 1952301301 | Georgia A Tuttle | Dermatology | 129 Mechanic St, Lebanon, NH 03766-1522 | 2005-07-28 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1013379262 | Brian Simmons | Dermatology | 18 Old Etna Rd, Lebanon, NH 03766-1937 | 2016-03-27 |
| 1538546957 | Carsten Robert Hamann | Dermatology | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2015-05-05 |
| 1295155232 | Emily E Shaughnessy | Dermatology | 18 Old Etna Rd, Dermatology, Lebanon, NH 03766 | 2014-04-17 |
| Find all providers in LEBANON | ||||
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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.