Dermatology East ,P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DERMATOLOGY EAST ,P.L.L.C.

Practice address

Dermatology East ,P.L.L.C. 1335 Cordova CV
Germantown, TN 38138

Phone

(901) 753-2794

Fax

(901) 753-8876

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luella G Churchwell, M.DNPI 1659360352

Title

Owner

Phone

(901) 753-2794

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

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

• Luella Grigg Churchwell, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Germantown, TN
  • NPI 1659360352
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Anthony Schneider, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Germantown, TN
  • NPI 1801885629
  Medicare reassignment Care Compare group NPD
• Meredith Wall Wagner, M.D.

  • Dermatology Physician
  • Pittsburgh, PA
  • NPI 1316380694

  TN

  Medicare reassignment NPD
• Shelley N Mulrooney, PA-C

  • Medical Physician Assistant
  • Germantown, TN
  • NPI 1164683827
  Medicare reassignment
• Chera Jones

  • Nurse Practitioner
  • Germantown, TN
  • NPI 1063337764
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1043413891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-753-2794",
            "fax_number": "901-753-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-753-2794",
            "fax_number": "901-753-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY EAST ,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CHURCHWELL",
        "authorized_official_first_name": "LUELLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-753-2794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Phillips Demilt, CTRS
• Emilee Demoss, MS CCC
• Sarah Poteet Dempsey, FNP-C
• Martine J Denn, MD
• Molly Denton
• Dermatology Realm and Family Practice
• Emily Detsch, OD
• Sophie Deviney
• David A. Dia, PH.D., LCSW
• Diagnostic Ultrasound Consultants

• Specialist in Germantown, TN
• Providers in Germantown, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.