Dermatology Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22263 Issued in CO

Legal business name

DERMATOLOGY CENTER PC

Practice address

685 Mission Hill Way
Colorado SPGS, CO 80921-2671

Phone

(719) 488-8724

Fax

(719) 531-9545

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Charles G Hughes, D. O.

Title

President

Phone

(719) 488-8724

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1306968797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MISSION HILL WAY",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809212671",
            "telephone_number": "719-488-8724",
            "fax_number": "719-531-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MISSION HILL WAY",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809212671",
            "telephone_number": "719-488-8724",
            "fax_number": "719-531-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-488-8724",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "22263",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "22263",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "22263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04012936",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Clay
• CNC Homecare Services LLC
• Theresa Cogan
• Colorado Rehabilitation Phys
• Rebecca Delametter, OTD, OTR/L
• Holly J Devore, MS
• Audrey Lois Dockins, O.D.
• Tosha Earley
• Edgar P Poremba DDS MSD PC
• Chad Erickson

• Dermatology Physician in Colorado SPGS, CO
• Providers in Colorado SPGS, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.