Active NPI
Auburn Dermatology and Skin Cancer Center
- Dermatology Physician
- Auburn, AL
National Provider Identifier
1215029053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- AUBURN DERMATOLOGY AND SKIN CANCER CENTER
- Practice address
- 785 N Dean Rd Ste 400
Auburn, AL 36830-4034 - Phone
- (334) 887-5060
- Fax
- (334) 887-4367
- NPI assigned
- Sep 29, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patty May
- Title
- Billing Manager
- Phone
- (334) 887-5060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
785 N Dean Rd Ste 400
Auburn, AL 36830-4034
Mailing address
785 N Dean Rd Ste 400
Auburn, AL 36830-4034
Phone (334) 887-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J950 | Other | AL | MEDICARE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Dermatology Physician
- Auburn, AL
- NPI 1316974090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1215029053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 N DEAN RD STE 400",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304034",
"telephone_number": "334-887-5060",
"fax_number": "334-887-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 N DEAN RD STE 400",
"city": "AUBURN",
"state": "AL",
"postal_code": "368304034",
"telephone_number": "334-887-5060",
"fax_number": "334-887-4367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUBURN DERMATOLOGY AND SKIN CANCER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "MAY",
"authorized_official_first_name": "PATTY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "334-887-5060"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "J950",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.