Active NPI
Advanced Dermatology and Skin Surgery, PA
- Dermatology Physician
- Asheville, NC
National Provider Identifier
1215990700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 200201027
- Legal business name
- ADVANCED DERMATOLOGY AND SKIN SURGERY, PA
- Practice address
- 16 Medical Park Dr
Asheville, NC 28803-2493 - Phone
- (828) 274-4880
- Fax
- (828) 274-6868
- NPI assigned
- Apr 7, 2006
- Last updated
- Mar 9, 2015
- 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
- Daniel Israel Zivony, M.D.
- Title
- President/Owner
- Phone
- (828) 274-4880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 200201027 | NC | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 200201027 | NC | |
| Dermatopathology Physician | 207ND0900X | 200201027 | NC |
Addresses
Primary practice location
16 Medical Park Dr
Asheville, NC 28803-2493
Mailing address
16 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 274-4880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913255 | Medicaid | NC | |
| 13255 | Other | NC | BLUE CROSS OF NORTH CAROL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2333779 | Advanced Dermatology & Skin Surgery, PA | Registration | Nov 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
12 Medical Park Dr
Asheville, NC 28803
Phone (828) 274-4880
12 Medical Park Dr
Fl First
Asheville, NC 28803
16 Medical Park Dr
Asheville, NC 28803
Phone (828) 254-0160
1363 7th Ave E
Side
Hendersonville, NC 28792
1363 7th Ave E
Hendersonvlle, NC 28792
Phone (828) 698-5757
Practitioners & affiliated clinicians
Practitioners 27
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
- Asheville, NC
- NPI 1780115857
-
- Dermatology Physician
- Asheville, NC
- NPI 1750813283
-
- Dermatology Physician
- Asheville, NC
- NPI 1316391410
-
- Dermatology Physician
- Asheville, NC
- NPI 1366602583
-
- Dermatology Physician
- Asheville, NC
- NPI 1669694113
-
- Physician Assistant
- Asheville, NC
- NPI 1285882571
-
- Physician Assistant
- Asheville, NC
- NPI 1962840132
-
- Physician Assistant
- Hendersonville, NC
- NPI 1922338060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1215990700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MEDICAL PARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032493",
"telephone_number": "828-274-4880",
"fax_number": "828-274-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 MEDICAL PARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032493",
"telephone_number": "828-274-4880",
"fax_number": "828-274-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DERMATOLOGY AND SKIN SURGERY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-07",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "ZIVONY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "ISRAEL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "828-274-4880",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "200201027",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NC",
"license": "200201027",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NC",
"license": "200201027",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913255",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NORTH CAROL",
"identifier": "13255",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
- Saisree Reddy Adla Jala, MBBS
- Madeline Frances Adolf, PSY ASSOC
- Robin Joy Adriance, FNP
- Advanced Chiropractic Center (Asheville Functional Neurology)
- Advanced Chiropractic Center NC, PC
- Advanced Home Care, Inc.
- Advanced Pain Relief Therapy
- Advantage Home and Community Care Inc.
- Advantage Home and Community Care Inc.
- Advantage Home and Community Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.