Dermatology Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101056982 Issued in VA

Legal business name

DERMATOLOGY CENTER PC

Practice address

3501 Lafayette Blvd
Fredericksburg, VA 22408-4130

Phone

(540) 371-7118

Fax

(540) 371-3248

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terri P Morris, M.D., PH.D.NPI 1194812776

Title

Owner

Phone

(540) 371-7118

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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 7

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.

• Terri P. Morris, M.D., PH.D.

  • Dermatology Physician
  • Fredericksburg, VA
  • NPI 1194812776
  Medicare reassignment Care Compare group Authorized official
• Tassia C Kostopoulos, MD

  • Dermatology Physician
  • Richmond, VA
  • NPI 1841637915
  Medicare reassignment Care Compare group NPD
• Emma Ubbelohde, NP-C

  • Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1245873306
  Medicare reassignment Care Compare group NPD
• Jennifer L Krushinski, MS.CRNP

  • Dermatology Physician
  • Catonsville, MD
  • NPI 1225212079

  VA

  Medicare reassignment Care Compare group NPD
• Andrea Rose Grant

  • Physician Assistant
  • Fredericksburg, VA
  • NPI 1568951606
  Medicare reassignment Care Compare group
• Robert Sterling

  • Medical Physician Assistant
  • Port Allegany, PA
  • NPI 1740723253

  VA

  Medicare reassignment Care Compare group
• John Hampton Hendrick Jr., PAC

  • Physician Assistant
  • Charleston, SC
  • NPI 1528021896

  VA

  Medicare reassignment

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1073688768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084130",
            "telephone_number": "540-371-7118",
            "fax_number": "540-371-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084130",
            "telephone_number": "540-371-7118",
            "fax_number": "540-371-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-371-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101056982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070011696",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS GROUP NUMBER",
            "identifier": "333606",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901090",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C07097",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental One Associates (Fredericksburg) P.C.
• Dental Professionals of Virginia, P.C.
• Dental Professionals of Virginia, P.C. (Dental Care at Chancellor Crossing)
• Derek J. Galatro, DDS, PC (Fredericksburg Dental Associates)
• Dermatology Associates of Fredericksburg
• Jason Todd Derting, LPTA
• Rebecca Derting, PTA
• Katherine Dervin, LCSW
• Meeta Desai, M.D.
• Neela Desai, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.