Skin Dermatology Company

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN DERMATOLOGY COMPANY

Practice address

555 Main St Ste 1
Shrewsbury, MA 01545

Phone

(508) 644-0505

Fax

(508) 644-0506

NPI assigned

Dec 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alissa T Lamoureux, DONPI 1780817189

Title

President

Phone

(508) 644-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alissa T Lamoureux, DO

  • Dermatology Physician
  • Shrewsbury, MA
  • NPI 1780817189
  Medicare reassignment Care Compare group NPD Authorized official
• Krista Joanne Hoffman, PA-C

  • Physician Assistant
  • Westport, MA
  • NPI 1255829156
  Medicare reassignment Care Compare group
• Heather Galonzka, N.P.

  • Gerontology Nurse Practitioner
  • Marlborough, MA
  • NPI 1245602457

  Dermatology

  Medicare reassignment NPD
• Audra S Lafleur, FNP

  • Nurse Practitioner
  • Hopkinton, MA
  • NPI 1063853968
  Medicare reassignment NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1033625868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MAIN ST STE 1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452932",
            "telephone_number": "508-644-0505",
            "fax_number": "508-644-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MAIN ST STE 1",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "01545",
            "telephone_number": "508-644-0505",
            "fax_number": "508-644-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN DERMATOLOGY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "LAMOUREUX",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-644-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Simmarano, PT
• Mandy Lynn Simon, NP
• Matthew Simone
• Siri'S Wig Boutique
• Carol Skaggs, OTR/L
• Deborah S. Sloane, MS-CCC-SLP
• Janet A Slota, M.D.
• Small 4 All
• Elizabeth Maria Small, MS C.C.C., SLP
• Heather Small, LMT

• Dermatology Physician in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.