Dermatology Associates of the Treasure Coast P a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0069441 Issued in FL

Legal business name

DERMATOLOGY ASSOCIATES OF THE TREASURE COAST P A

Practice address

809 SE Osceola St
Stuart, FL 34994-2431

Phone

(772) 219-0044

Fax

(772) 219-0709

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Daniel King, M D

Title

President

Phone

(772) 219-0044

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Arthur Daniel King, MD

  • Dermatology Physician
  • Stuart, FL
  • NPI 1255327722
  Medicare reassignment NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1376687384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "772-219-0044",
            "fax_number": "772-219-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942431",
            "telephone_number": "772-219-0044",
            "fax_number": "772-219-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF THE TREASURE COAST P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-219-0044",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0069441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO-GBA",
            "identifier": "DG5451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255327722",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arkaja Shaniece Denton
• Shateria Brinae Denton
• Tracy Ann Depaola, ARNP
• Edgar Joseph Depool, PT
• Robert M Dermarkarian, M.D.
• Dermatology Centres-Treasure Coast P a
• Alpana A Desai, M.D.
• Jamie Lee Descalzo, RBT
• Krishnaraj Gopal Deshpande, D.O.
• Stacie M Desjardins, MOTR/L

• Dermatology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.