Traceside Dermatology and Allergy PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TRACESIDE DERMATOLOGY AND ALLERGY PLC

Practice address

4230 Harding Pike Ste 703
St. Thomas West, East Plaza
Nashville, TN 37205-2013

Phone

(615) 212-3012

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By 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

Robert S Valet, MDNPI 1780731661

Title

Owner

Phone

(615) 212-3012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 4

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.

• Robert Valet, MD

  • Allergy & Immunology Physician
  • Nashville, TN
  • NPI 1780731661
  Medicare reassignment NPD Authorized official
• Casey Elizabeth Shaba, MD

  • Dermatology Physician
  • Nashville, TN
  • NPI 1710181201
  Medicare reassignment NPD
• Britney D Hayslip, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1972380293
  Medicare reassignment
• Amy S Valet, MD

  • Dermatology Physician
  • Nashville, TN
  • NPI 1891999389
  Medicare reassignment

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1164960563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 703",
            "address_2": "ST. THOMAS WEST, EAST PLAZA",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-212-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 703",
            "address_2": "ST. THOMAS WEST, EAST PLAZA",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052013",
            "telephone_number": "615-212-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACESIDE DERMATOLOGY AND ALLERGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "VALET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-212-3012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Tozer
• TPL Hospitality Group Corp.
• Anthony E Trabue, M.D.
• Christopher H Trabue, M.D.
• Susanna C Trabue, N.P.
• Patrice L Tracey, CRNA
• Tracut LLC
• Kaitlyn McAdams Tracy, MD
• Nicole Trader
• John Mantzouranis Trahanas, M.D.

• Dermatology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.