Dermatology & Skin Surgery Associates, SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036073727 Issued in IL

Legal business name

DERMATOLOGY & SKIN SURGERY ASSOCIATES, SC

Practice address

7151 183Rd St
Tinley Park, IL 60477-3932

Phone

(708) 478-3530

Fax

(708) 478-3537

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donna M Stockton, MD

Title

President

Phone

(708) 478-3530

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8564/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Lynne Stockton-Rodriguez, MD

  • Dermatology Physician
  • Greenville, NC
  • NPI 1851386221

  IL

  Medicare reassignment NPD
• Stephanie Huang, PA-C

  • Physician Assistant
  • Tinley Park, IL
  • NPI 1184291460
  NPD
• Aliya Marie Rodriguez Rogers, MD

  • Dermatology Physician
  • Omaha, NE
  • NPI 1972249522
  NPD
• Alix J Charles, MD

  • Dermatology Physician
  • Hinsdale, IL
  • NPI 1902891377
  NPD (past)
• Felix Manuel Rodriguez, LCSW

  • Clinical Social Worker
  • Mokena, IL
  • NPI 1376873653
  NPD (past)
• Carolyn Lavon Merritt, M.D.

  • Procedural Dermatology Physician
  • Christiansted, VI
  • NPI 1235257957
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1245342633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 183RD ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773932",
            "telephone_number": "708-478-3530",
            "fax_number": "708-478-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 183RD ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773932",
            "telephone_number": "708-478-3530",
            "fax_number": "708-478-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN SURGERY ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-478-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036073727",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036109235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Dement, LPC
• Lucky Denenga, PT
• Beth A Denler, R.N.
• Gene Denning, DO
• Dennis Gaeta, O.D. and Assoc., PC
• Dermatology Associates LTD
• Kristin M Derungs, PA-C
• Jonathan Dharamsy, PT, DPT
• Mazen Diab, M.D.
• Matthew Gabriel Diaz

• Dermatology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.

Verify at the official NPI Registry.