Dermcare Mass LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMCARE MASS LLC

Practice address

27 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 244-0060

NPI assigned

Oct 22, 2021

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DERMCARE PHYSICIANS AND SURGEONS LLCAs reported in NPPES

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

Authorized official

Name

Samuel GoosNPI 1548240039

Title

Owner

Phone

(978) 371-7010

Specialties & licenses 1

Addresses

Part of

Dermcare Physicians and Surgeons LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dermcare Physicians and Surgeons LLC

  • Dermatology Physician
  • Natick, MA
  • NPI 1780636597
  NPPES parent name

Practitioners 4

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.

• Samuel D Goos, M.D.

  • Dermatology Physician
  • Concord, MA
  • NPI 1548240039
  Authorized official Same address or phone
• Paul F Bostrom, M.D.

  • Dermatology Physician
  • Chelmsford, MA
  • NPI 1811970155
  NPD (past)
• Melissa A Michelon, MD

  • Dermatology Physician
  • Worcester, MA
  • NPI 1982983235
  NPD (past)
• Rachel Emma Surridge

  • Physician Assistant
  • Chelmsford, MA
  • NPI 1659143840
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1033873419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-244-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMCARE MASS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMCARE PHYSICIANS AND SURGEONS LLC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "GOOS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-371-7010"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick W Dekow, M.D.
• Jennifer C Delikat, M.D.
• Erica Dellogono
• Dentiverse LLC
• Kerri L Deprofio, RPH
• Leena Desai, DMD
• DG Physical Therapy PC (Select Physical Therapy)
• Kayla Kathleen Dibiasio, DMD
• Heather Difonzo, M.S., CCC-SLP
• Digestive Health Specialists, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.