Fichtel Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FICHTEL DERMATOLOGY PLLC

Doing business as

Transformative Dermatology

Practice address

1909 Mallory LN Ste 302
Franklin, TN 37067-2843

Phone

(615) 905-4994

Fax

(615) 224-6950

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Jill C Fichtel, MDNPI 1154323749

Title

Owner/Physician

Phone

(615) 905-4994

Specialties & licenses 2

Addresses

Other names 1

• Transformative Dermatology Doing business as

Locations

Practitioners 1

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

• Jill C Fichtel, MD

  • Dermatology Physician
  • Franklin, TN
  • NPI 1154323749
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1295432284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672843",
            "telephone_number": "615-905-4994",
            "fax_number": "615-224-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672843",
            "telephone_number": "615-905-4994",
            "fax_number": "615-224-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FICHTEL DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "FICHTEL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "615-905-4994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformative Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Ferguson, BCBA
• Kimberly Fernando, FNP-BC
• Michael Jude Ferri, M.D.
• Chanelle Renee Fetterman, PHARMD
• Teresa Dianne Few, LCSW
• Jill C Fichtel, MD
• Lauren Whitley Fields, D.M.D.
• Meredith Figueroa
• Ashley Filson
• Shakyla Finch

• Dermatology Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.