Naples Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0057073 Issued in FL

Legal business name

NAPLES DERMATOLOGY PA

Practice address

4085 Tamiami TR N
Suite B203
Naples, FL 34103

Phone

(239) 261-3082

Fax

(239) 261-1035

NPI assigned

Nov 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. Scott A Ross, MDNPI 1205829447

Title

President

Phone

(239) 261-3082

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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 5

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

• Scott Alan Ross, MD

  • Dermatology Physician
  • Naples, FL
  • NPI 1205829447
  Medicare reassignment Care Compare group NPD Authorized official
• Gerardo J Lugo, MD

  • Procedural Dermatology Physician
  • Naples, FL
  • NPI 1952394199
  Medicare reassignment Care Compare group NPD
• Francesca Espinoza, PA-C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1326922386
  Medicare reassignment Care Compare group NPD (past)
• Sydney Anne Randall, PA-C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1831875582
  NPD
• Kali Hartman

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1255283917
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1104006030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 TAMIAMI TR N",
            "address_2": "SUITE B203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-261-3082",
            "fax_number": "239-261-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 TAMIAMI TR N",
            "address_2": "SUITE B203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34103",
            "telephone_number": "239-261-3082",
            "fax_number": "239-261-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-261-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0057073",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0053679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "14961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naples Cosmetic Surgery Center, Inc.
• Naples Day Surgery LLC
• Naples Day Surgery LLC
• Naples Dental Art Center, Inc.
• Naples Dental Studio, LLC
• Naples Diagnostic Imaging Center LTD
• Naples Direct Medical PLLC
• Naples DME Supply LLC
• Naples Emergency Physicians LLC
• Naples Eye Physicians Optical Shop, Inc

• Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.