BETHANY R HAIRSTON MD (NPI# 1982836037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982836037 |
| Entity Type | Organization |
| Organization Name | BETHANY R HAIRSTON MD |
| Other Organization Name | VITALITY DERMATOLOGY |
| Practice Address |
724 Leigh Drive Columbus MS 39705-3098 |
| Practice Telephone | 6623283375 |
| Practice Fax Number | 6623283395 |
| Mailing Telephone | 6623283375 |
| Mailing Fax Number | 6623283395 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | BETHANY R HAIRSTON (OWNER/PRACTITIONER) |
| Authorized Official Telephone | 6623283375 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Dermatology Clinic | Doing Business As Name - Organization |
| Vitality Dermatology | Doing Business As Name - Organization |
| Street Address |
724 LEIGH DRIVE |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-3098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| 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 |
|---|---|---|---|---|
| 1174972434 | West Georgia Medical Associates | Dermatology | 6600 Whittlesey Blvd Bldg A, Columbus, GA 31909-7251 | 2016-06-08 |
| 1770958092 | Diagnostic Dermatopathology | Dermatology | 2101 Brookstone Centre Pkwy, Ste 300, Columbus, GA 31904-9254 | 2015-12-11 |
| 1912379421 | Danielle Wiseley | Dermatology | 1150 Brookstone Centre Parkway, Columbus, GA 31904-4577 | 2015-10-22 |
| 1538503255 | Natalie Grace Spaccarelli | Dermatology | 1328 Dublin Rd Ste 100, Columbus, OH 43215-1054 | 2013-04-24 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1588977912 | Jessica Amie Kaffenberger | Dermatology | 540 Office Center Pl, Suite 240, Columbus, OH 43230-5317 | 2010-07-14 |
| 1821329616 | Comprehensive Skin Cancer Center | Dermatology | 1339 La Rochelle Dr, Columbus, OH 43221-1531 | 2010-01-19 |
| 1205011574 | Sandra Jones Wu Md Inc | Dermatology | 1194 Old Henderson Rd Ste A, Columbus, OH 43220-3694 | 2008-01-07 |
| 1477767846 | Monique Elise Kademian | Dermatology | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 | 2007-05-09 |
| 1255402939 | Dermatology and Skincare, PC | Dermatology | 2320 Double Churches Rd., Suite B, Columbus, GA 31909 | 2006-11-13 |
| Find all providers in COLUMBUS | ||||
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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.