The Dermatology Center of Raleigh

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200100287 Issued in NC

Legal business name

THE DERMATOLOGY CENTER OF RALEIGH

Practice address

9104 Falls of Neuse Rd Ste 310
Raleigh, NC 27615-2498

Phone

(919) 645-1090

Fax

(888) 971-3717

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Carol A. Trakimas, D.O.

Title

Medical Director

Phone

(919) 573-9030

Specialties & licenses 1

Addresses

Locations

Practitioners 6

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

• Michael J Redmond, M.D.

  • Dermatology Physician
  • Mooresville, NC
  • NPI 1043350531
  NPD
• Cooper Campbell Wriston, MD

  • Dermatology Physician
  • Burlington, VT
  • NPI 1134356728
  NPD
• Thomas C Yu, MD

  • Dermatology Physician
  • Bethesda, MD
  • NPI 1619963162
  NPD
• Suzanne Craven, PA

  • Physician Assistant
  • Cary, NC
  • NPI 1750794335
  NPD (past)
• Tarsha Rivens, MPAS PAC

  • Medical Physician Assistant
  • Cary, NC
  • NPI 1972775328
  NPD (past)
• Shane R O'Neil, PA

  • Physician Assistant
  • Johnson City, NY
  • NPI 1922350073

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1295930865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 FALLS OF NEUSE RD STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152498",
            "telephone_number": "919-645-1090",
            "fax_number": "919-585-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 FALLS OF NEUSE RD STE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152498",
            "telephone_number": "919-645-1090",
            "fax_number": "888-971-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 Ballantyne Commons Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773175",
            "country_code": "US",
            "telephone_number": "704-544-8776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Capital Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276063792",
            "country_code": "US",
            "telephone_number": "919-645-0687",
            "fax_number": "919-859-0687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14330 Oakhill Park Ln Ste 135",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783409",
            "country_code": "US",
            "telephone_number": "704-544-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Baxter St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043808",
            "country_code": "US",
            "telephone_number": "704-612-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE DERMATOLOGY CENTER OF RALEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "TRAKIMAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-573-9030",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200100287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.