Truderm PA

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

Legal business name

TRUDERM PA

Practice address

3319 State Road 7
Suite 202
Wellington, FL 33449-8092

Phone

(561) 207-8080

Fax

(561) 207-8082

NPI assigned

Apr 25, 2012

Last updated

Jul 30, 2012By 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

Debra Vanderhoff

Title

Practice Manager

Phone

(561) 932-5259

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Madeleine Prieto, PA-C

  • Physician Assistant
  • Wellington, FL
  • NPI 1083484042
  Medicare reassignment NPD
• Andleeb Anwar Usmani, D.O.

  • Dermatology Physician
  • Miami, FL
  • NPI 1447393251
  Medicare reassignment NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1336407527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498092",
            "telephone_number": "561-207-8080",
            "fax_number": "561-207-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 STATE ROAD 7",
            "address_2": "SUITE 202",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498092",
            "telephone_number": "561-207-8080",
            "fax_number": "561-207-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUDERM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "VANDERHOFF",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-932-5259"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raeann Tourangeau-Young, MD
• Dalina Tran, OD
• Transition Counseling, Inc
• Krishna Tripuraneni, MD
• Nicole S Trotter
• True Angel Care Nurse Registry LLC
• True Angel Care Services Inc
• Stephanie Trujillo Rodriguez
• Kathleen Trummer, PA
• Xen Truong, DDS

• Pediatric Dermatology Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Pediatric Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.