Allphases Dermatology LLC
Organization Active NPI Dermatology Physician · Alexandria, VA
NPI 1053598474 · NPPES record last updated Jan 28, 2008
Key facts
- NPI
- 1053598474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 0101231652 (VA)
- Legal business name
- ALLPHASES DERMATOLOGY LLC
- Practice address
- 6355 Walker LN Ste 311
Alexandria, VA 22310-3258 - Phone
- (703) 822-0222
- Fax
- (703) 822-8222
- NPI assigned
- Jan 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Yvette Appiah
- Title
- Managing Member
- Phone
- (703) 822-0222
Practitioners 11
-
Yvette E Appiah, M.D.
-
Chelsea Marie Abad, CRNP, AGPCNP - BC
-
Angela Rose Johannes, C.R.N.P.
-
Bushra Alam, PA-C
-
Ogechi C Onwudiwe, M.D
-
Marisa Parand, NP
-
Irene Acheampong, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040908000069 | DC | Part B Supplier - Clinic/Group Practice | 7012983414 |
Receives reassigned benefits from 10 practitioners Practice locations: Alexandria, VA |
National Provider Directory
Locations
6355 Walker Ln
Ste 409
Alexandria, VA 22310
Phone (703) 921-1811
6355 Walker Ln
Ste 311
Alexandria, VA 22310
Phone (703) 822-0222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 0101231652 | VA | Yes |
Addresses
Primary practice location
6355 Walker LN Ste 311
Alexandria, VA 22310-3258
Mailing address
6355 Walker LN Ste 311
Alexandria, VA 22310-3258
Phone (703) 822-0222
NPI Registry JSON
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1053598474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 311",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103258",
"telephone_number": "703-822-0222",
"fax_number": "703-822-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN STE 311",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103258",
"telephone_number": "703-822-0222",
"fax_number": "703-822-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLPHASES DERMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "APPIAH",
"authorized_official_first_name": "YVETTE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "703-822-0222",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "VA",
"license": "0101231652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
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All providers in Alexandria, VA · Dermatology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.