Fredericksburg Dermatologic Associates PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FREDERICKSBURG DERMATOLOGIC ASSOCIATES PC

Practice address

1300 Thornton St
Fredericksburg, VA 22401-4654

Phone

(540) 371-3115

Fax

(540) 372-9860

NPI assigned

Dec 28, 2005

Last updated

Aug 17, 2018By 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

Peggie A Brewer

Title

Office Manager

Phone

(540) 371-3115

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Seth Craig, M.D.

  • Allergy & Immunology Physician
  • Fredericksburg, VA
  • NPI 1558395152
  NPD (past)
• Michael Peter Stevens, MD

  • Dermatology Physician
  • Fredericksburg, VA
  • NPI 1417932427
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1326025735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-3115",
            "fax_number": "540-372-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 THORNTON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014654",
            "telephone_number": "540-371-3115",
            "fax_number": "540-372-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG DERMATOLOGIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "PEGGIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-371-3115"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredericksburg City Pharmacy Inc
• Fredericksburg Dental Care
• Fredericksburg Dental Center
• Fredericksburg Dental Professionals,PLLC
• Fredericksburg Dentist and Implant Center, Inc.
• Fredericksburg DME
• Fredericksburg Emergency Medical Alliance, Inc.
• Fredericksburg Endodontics PLLC
• Fredericksburg Endoscopy Center, LLC
• Fredericksburg Eyecare LLC (Fredericksburg Eyecare)

• Dermatology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.