Pure Skin Dermatology & Oncology, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE SKIN DERMATOLOGY & ONCOLOGY, INC

Practice address

8331 Madison Blvd Ste 400
Madison, AL 35758-2074

Phone

(256) 684-7066

NPI assigned

Sep 30, 2019

Last updated

Nov 2, 2022By 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

Ms. Christian Elizer

Title

Owner

Phone

(256) 684-7066

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1043851249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD STE 400",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582074",
            "telephone_number": "256-684-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD STE 400",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582074",
            "telephone_number": "256-684-7066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8121 Madison Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582081",
            "country_code": "US",
            "telephone_number": "256-684-7066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE SKIN DERMATOLOGY & ONCOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ELIZER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-684-7066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.