Dermatology Associates of Tallahassee PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA

Practice address

1707 Riggins Rd
Tallahassee, FL 32308-5317

Phone

(850) 877-4134

Fax

(850) 402-9130

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Brian Schaper

Title

Practice Administrator

Phone

(850) 877-4134

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dermatology Associates of Tallahassee, PA

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1730567504

  6608775499

  Same PAC ID

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 59

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

• Lauren Bigley Bardhi, ARNP, M.S.N.

  • Pediatric Nurse Practitioner
  • Tallahassee, FL
  • NPI 1134384324
  Medicare reassignment Care Compare group NPD
• Gabrielle Laine Braunstein, PA

  • Physician Assistant
  • Delray Beach, FL
  • NPI 1154286482
  Medicare reassignment Care Compare group NPD
• Joseph V. Caravaglio, MD

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1164953832
  Medicare reassignment Care Compare group NPD
• Arianne E Chavez, MD

  • MOHS-Micrographic Surgery Physician
  • St. Johns, FL
  • NPI 1972762565

  Dermatology

  Medicare reassignment Care Compare group NPD
• Armand B Cognetta Jr., M.D.

  • MOHS-Micrographic Surgery Physician
  • Tallahassee, FL
  • NPI 1003922592
  Medicare reassignment Care Compare group NPD
• Lauren Duffey Crow, M.D.

  • MOHS-Micrographic Surgery Physician
  • St Augustine, FL
  • NPI 1316395734

  Dermatology

  Medicare reassignment Care Compare group NPD
• Alexander Davis, MD

  • Dermatology Physician
  • Panama City, FL
  • NPI 1285160879
  Medicare reassignment Care Compare group NPD
• William Harris Green

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1023213634
  Medicare reassignment Care Compare group NPD
• Okanta B Jackson, M.D.

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1578670055
  Medicare reassignment Care Compare group NPD
• Jean Helen McClintock, MD

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1134167687
  Medicare reassignment Care Compare group NPD
• Austinn Miller

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1144885229
  Medicare reassignment Care Compare group NPD
• Pamela Marie Padilla, M.D.

  • Dermatology Physician
  • St Augustine, FL
  • NPI 1881026581
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1295842672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13859",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173859",
            "telephone_number": "850-877-4134",
            "fax_number": "850-402-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085317",
            "telephone_number": "850-877-4134",
            "fax_number": "850-402-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHAPER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-877-4134"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHEILD",
            "identifier": "00415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Department of Health Central Pharmacy
• Dependable Diagnostic LLC
• Dependable Services LLC
• Dept of Health Central Pharmacy
• Dermatology Advanced Care, P.a.
• Leo Christopher Derosier, MD
• Stephanie Derouin, ARNP
• Ashley Derrick, FNP-C
• Filnara F Derrington, PT
• Mahesh V Desai, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.