Derm One, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERM ONE, PLLC

Practice address

725 S College Ave
Bluefield, VA 24605-1640

Phone

(276) 326-3376

Fax

(276) 326-3046

NPI assigned

Oct 19, 2006

Last updated

Jan 21, 2013By 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

Dr. David L Tolliver, D.O.NPI 1831176296

Title

Physician

Phone

(276) 326-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Enrollment records 2

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 17

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.

• David Lee Tolliver, D.O.

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1831176296

  WV

  Medicare reassignment NPD Authorized official
• Chad S Caskey, PA

  • Physician Assistant
  • Bluefield, VA
  • NPI 1104855907

  WV

  Medicare reassignment Care Compare group
• Bryan D Caskey, PA

  • Physician Assistant
  • Beckley, WV
  • NPI 1366582660

  VA

  Medicare reassignment Care Compare group
• Melissa Marie Buckner, FNP-BC

  • Family Nurse Practitioner
  • Bluefield, VA
  • NPI 1992224364

  WV

  Medicare reassignment NPD
• Alexis Greimel Canterbury, NP

  • Nurse Practitioner
  • Bluefield, VA
  • NPI 1407610637

  WV

  Medicare reassignment NPD
• Shayan Cheraghlou, MD

  • Dermatology Physician
  • Bluefield, VA
  • NPI 1336760677

  WV

  Medicare reassignment NPD
• Susan I Gaither, RNCNP

  • Family Nurse Practitioner
  • Blacksburg, VA
  • NPI 1053498121
  Medicare reassignment NPD
• April Renee Neely, FNP-BC

  • Family Nurse Practitioner
  • Bluefield, VA
  • NPI 1366884793

  WV

  Medicare reassignment NPD
• Michelle B Caskey, APRN, MSN, NP-C

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1104261767

  VA

  Medicare reassignment NPD
• Adam L Meade, FNP-BC

  • Nurse Practitioner
  • Beckley, WV
  • NPI 1023440005

  VA

  Medicare reassignment NPD
• Whitney Rose, CRNP

  • Family Nurse Practitioner
  • Beckley, WV
  • NPI 1295221075

  VA

  Medicare reassignment NPD
• Jeremy Seth Morgan, PA-C

  • Physician Assistant
  • Bluefield, VA
  • NPI 1386721462

  WV

  Medicare reassignment

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1053493288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051640",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM ONE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-326-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Harris MD (David M Harris)
• Alexis Paige Davidson, COTA
• William Tyler Davis, LPTA
• Dustin Dean, DPT
• Stephen Alan Degray, MD
• Dermatology Clinics of Southwest Virginias PLLC
• Hilary Beth Deskins, PHARMD
• Holly Disibbio, PMHNP-BC
• Bobby Quentin Dunford, LPTA
• Donna Elaine Dunford, LPC

• Dermatology Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; 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.