Park Avenue Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS 4926 Issued in FL

Legal business name

PARK AVENUE DERMATOLOGY PA

Practice address

906 Park Ave
Orange Park, FL 32073-4120

Phone

(904) 541-0315

Fax

(904) 541-0316

NPI assigned

Jun 17, 2006

Last updated

Dec 13, 2023By 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

George J Schmieder, D.O.NPI 1578537759

Title

President

Phone

(904) 541-0315

Specialties & licenses 2

Addresses

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 20

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.

• George J Schmieder, DO

  • Dermatology Physician
  • Orange Park, FL
  • NPI 1578537759
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Dykes

  • Dermatology Physician
  • Orange Park, FL
  • NPI 1801474838
  Medicare reassignment Care Compare group NPD
• Shawn Jude Schmieder, D.O.

  • Dermatology Physician
  • Orange Park, FL
  • NPI 1609225176
  Medicare reassignment Care Compare group NPD
• Nathaniel Allen Swartz, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1588771729
  Medicare reassignment Care Compare group NPD
• Adam Chahine, MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1518457845

  FL

  Medicare reassignment Care Compare group NPD
• Mekenna Anne Barton, PA-C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1033858691
  Medicare reassignment Care Compare group
• Natalie Ann Bernhart, PA-C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1205944022
  Medicare reassignment Care Compare group
• Adilen L Dillingham, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1366656688
  Medicare reassignment Care Compare group
• Julian Lanor Glassman, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1477382992
  Medicare reassignment Care Compare group
• Julie M Harrington, PA-C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1083955462
  Medicare reassignment Care Compare group
• Jenifer D Lee, PA C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1801140074
  Medicare reassignment Care Compare group
• Maria Magdalena Ready, PA

  • Physician Assistant
  • Fleming Island, FL
  • NPI 1821542242
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1205871001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734120",
            "telephone_number": "904-541-0315",
            "fax_number": "904-541-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SCHMIEDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-541-0315",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS 4926",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS 4926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravi Pande, M.D
• Karley Papworth-McGuire, LCSW
• Carla J Pardo, M.D.
• Maria Alejandra Paredes, PA-C
• Anjan R Parghi, M.D.
• Park Medical Center
• Tia Faye Parker
• Gerald Lee Parks Jr.
• Leila Parsa, DO
• Almany Parsons

• Dermatology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.