Pinski Dermatology & Cosmetic Surgery SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

042000198 Issued in IL

Legal business name

PINSKI DERMATOLOGY & COSMETIC SURGERY SC

Practice address

374 Larry Power Rd
Bourbonnais, IL 60914-5187

Phone

(815) 933-2227

NPI assigned

Aug 12, 2008

Last updated

Jan 29, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ashley F Riemerts

Title

Manager

Phone

(312) 263-4625

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Michael Prus, PA-C

  • Physician Assistant
  • Lincolnshire, IL
  • NPI 1215094651
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1023264967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145187",
            "telephone_number": "815-933-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145187",
            "telephone_number": "815-933-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINSKI DERMATOLOGY & COSMETIC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "RIEMERTS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-263-4625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "042000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center LTD
• Colin Pickering
• Pinnacle Dermatology, SC (Pinnacle Dermatology, Bourbonnais)
• Pinnacle Opportunities Inc (Roy Court)
• Pinnacle Opportunities Inc (Chamness Square)
• Margaret Ann Piper, MA, LCPC
• Thomas M Potoski, LCPC
• Nicole Potts
• Christopher Thomas Powell, D.D.S.
• Kristen Powell

• Dermatology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.