Dermatopath Lab, Inc.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

2413 Issued in MA

Legal business name

DERMATOPATH LAB, INC.

Practice address

555 Pleasant St
Suite 106
Attleboro, MA 02703-2400

Phone

(508) 226-5540

Fax

(508) 226-9619

NPI assigned

May 26, 2006

Last updated

Dec 5, 2007By 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

Yvonne C. Hines, M.D.NPI 1255370904

Title

Medical Director

Phone

(508) 226-5540

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 3

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.

• Yvonne C Hines, M.D.

  • Dermatopathology Physician
  • Attleboro, MA
  • NPI 1255370904
  Authorized official Same address or phone
• Nicole Boschetto, PA

  • Physician Assistant
  • Norwell, MA
  • NPI 1790117802
  NPD (past)
• Nancy Hsiu-Sheng Chan, M.D.

  • Internal Medicine Physician
  • Attleboro, MA
  • NPI 1801932462
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1275589624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "address_2": "SUITE 106",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032400",
            "telephone_number": "508-226-5540",
            "fax_number": "508-226-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PLEASANT ST",
            "address_2": "SUITE 106",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032400",
            "telephone_number": "508-226-5540",
            "fax_number": "508-226-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATH LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-226-5540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1847-0",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0013986",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "228418",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "607206",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "350062",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805548",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIM",
            "identifier": "4754 MIR",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9418065",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "C028629",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1171",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Andrew Denneno, APRN,BC
• Jane E Denning, LMHC
• Julia Noel Denommee
• Dentists of Attleboro, PC (Dentists of Attleboro)
• Erica Depedro
• Kristen Derosier
• Amy Derzanski
• Emily Devaul-Monteiro
• Ranbir Singh Dhillon, M.D.
• Diagnostic Medical Systems Inc

• Dermatopathology Physician in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Dermatopathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.