Nuplo Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NUPLO DERMATOLOGY LLC

Practice address

718 Lakeview Rd Ste B
Clearwater, FL 33756-3460

Phone

(727) 447-1229

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Metterle, MDNPI 1033572391

Title

Managing Partner

Phone

(813) 785-4861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Lauren Marie Metterle, MD

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1033572391
  Medicare reassignment Care Compare group NPD Authorized official
• Nupur Uma Hitesh Patel, MD

  • Dermatology Physician
  • Clearwater, FL
  • NPI 1194220681
  Medicare reassignment Care Compare group NPD
• Mahesh Amin, MD

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1013985043
  NPD (past)

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1033879416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 LAKEVIEW RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LAKEVIEW RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563460",
            "telephone_number": "727-447-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUPLO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "METTERLE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "813-785-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Nusca, ARNP
• Catherine Nwokolo

• Dermatology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.