On Site Dermatology of Colorado PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ON SITE DERMATOLOGY OF COLORADO PLLC

Practice address

234 N Main St Ste B
Gunnison, CO 81230-2438

Phone

(877) 345-5300

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By 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

Adam Plotkin, MD

Title

Authorized Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Tax ID family

On Site Dermatology of Colorado PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• On Site Dermatology of Colorado PLLC

  • Dermatology Physician
  • Gunnison, CO
  • NPI 1518666064
  NPD tax ID

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1215797204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N MAIN ST STE B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302438",
            "telephone_number": "877-345-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SITE DERMATOLOGY OF COLORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacklyn Neill, R.PH.
• Michelle New, CPM
• Sherry L Niccoli, MD
• Nodaway Anesthesia Professionals-Colorado
• Kalee Olmstead, RDH
• On Site Dermatology of Colorado PLLC
• Options in Health and Wellness
• Jed Ryan Orgill, D.C.
• Joshua Thomas Osborne, D,M,D,
• Janet C Ost, RN

• Dermatology Physician in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.