Virginia Beach Dermatology Associates PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101033623 Issued in VA

Legal business name

VIRGINIA BEACH DERMATOLOGY ASSOCIATES PLLC

Practice address

5320 Providence Rd Ste 202
Virginia Beach, VA 23464-4122

Phone

(757) 523-4800

Fax

(757) 523-5857

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Bill Ryll

Title

Billing

Phone

(757) 301-8960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1174799670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-523-4800",
            "fax_number": "757-523-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 PROVIDENCE RD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644122",
            "telephone_number": "757-523-4800",
            "fax_number": "757-523-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH DERMATOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "RYLL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "757-301-8960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101033623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005937108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Beach Counseling and Wellness
• Virginia Beach Counseling Services
• Virginia Beach Counseling Services, PLLC
• Virginia Beach Department of Public Health
• Virginia Beach Dept. of Public Health - Dental Clinic
• Virginia Beach Dermatoloty Ass.
• Virginia Beach Diagnostics, LLC
• Virginia Beach Eye Center PC
• Virginia Beach Eye Center, PC
• Virginia Beach Family Dental PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.