Tarantola Dermatology Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TARANTOLA DERMATOLOGY INC

Practice address

525 Brent LN
Pensacola, FL 32503-2003

Phone

(850) 439-5394

Fax

(850) 696-2613

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Cristina Tarantola, MDNPI 1396816765

Title

Owner

Phone

(850) 439-5394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Cristina Isabel Tarantola, MD

  • MOHS-Micrographic Surgery Physician
  • Pensacola, FL
  • NPI 1396816765
  Medicare reassignment Care Compare group Authorized official
• Sarah Shivers Clark, NP-C

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1164921854
  Medicare reassignment Care Compare group NPD
• Cate Utsey

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1306675210
  Medicare reassignment Care Compare group
• Cheryl Sandoski Jones, M.D.

  • Dermatology Physician
  • Pensacola, FL
  • NPI 1588600795
  NPD

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1275915811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-439-5394",
            "fax_number": "850-696-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-439-5394",
            "fax_number": "850-696-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARANTOLA DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "TARANTOLA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-439-5394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Tant, CRNA
• Jeffrey Lynn Tapley Jr., M.D.
• Karyn Lyn Tapley, MD MBA
• Tara L Gonzales MD PA
• Tara Littlejohn Gonzales MD - Arbor Pediatrics
• Cristina Isabel Tarantola, MD
• Ryan M Tarantola, MD
• Moayad Tarboush, M.D.
• Ali Tariq, M.D
• Adam Tarnosky, MD

• Dermatology Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.

Verify at the official NPI Registry.