Mahoney Dermatology Specialists PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME88148 Issued in FL

Legal business name

MAHONEY DERMATOLOGY SPECIALISTS PA

Practice address

7995 66TH St N Ste B
Pinellas Park, FL 33781-2163

Phone

(727) 530-0920

Fax

(727) 827-7139

NPI assigned

Jun 6, 2007

Last updated

Apr 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin A Mahoney

Title

Ceo

Phone

(727) 452-3889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACIDAA

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis B Honigbaum, MD

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1720423932
  Medicare reassignment Care Compare group NPD
• Matthew H Mahoney, MD

  • Dermatology Physician
  • Pinellas Park, FL
  • NPI 1730382110
  Medicare reassignment Care Compare group NPD
• Geneva Durnbaugh, PA-C

  • Medical Physician Assistant
  • Pinellas Park, FL
  • NPI 1396571980
  Medicare reassignment Care Compare group
• Anna M Heider, PA

  • Medical Physician Assistant
  • Pinellas Park, FL
  • NPI 1649431404
  Medicare reassignment Care Compare group
• Amber W Zeier, PA

  • Physician Assistant
  • Pinellas Park, FL
  • NPI 1740584309
  Medicare reassignment Care Compare group
• Lana McKinley, DO

  • Dermatology Physician
  • Largo, FL
  • NPI 1083949010
  Medicare reassignment NPD
• Sarah M Croft, D.O.

  • Dermatology Physician
  • Athens, OH
  • NPI 1306101852

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1316140791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812163",
            "telephone_number": "727-530-0920",
            "fax_number": "727-827-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7995 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812163",
            "telephone_number": "727-530-0920",
            "fax_number": "727-827-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONEY DERMATOLOGY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-04-28",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-452-3889"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME88148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaivis Machado Rodriguez
• Angelica Maria Machin Hernandez
• John Macphee
• Rama Madhusoodanan, MD
• Joanna Magazine
• Matthew H Mahoney, MD
• Rosanna Mai, APRN, FNP-BC
• Alexis Maier
• Mainlands Medical, Inc.
• Majestic Bayside LLC (Good Hope Assisted Living Resort)

• Dermatology Physician in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.