The Dermatology Center PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E-2778 Issued in AR

Legal business name

THE DERMATOLOGY CENTER PLLC

Practice address

7900 Dallas Street
Fort Smith, AR 72903-5690

Phone

(479) 242-6647

Fax

(479) 250-0505

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Craig Stites, MDNPI 1821085887

Title

President

Phone

(479) 242-6647

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 9

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

• Phillip C Stites, MD

  • Dermatology Physician
  • Fort Smith, AR
  • NPI 1821085887
  Medicare reassignment Care Compare group NPD Authorized official
• George Luke Lewis, MD

  • Dermatology Physician
  • Fort Smith, AR
  • NPI 1417978958
  Medicare reassignment Care Compare group NPD
• Daniel Brian Maechler

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1144056110
  Medicare reassignment Care Compare group NPD
• Elizabeth Victoria Maechler, APRN

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1134907637
  Medicare reassignment Care Compare group NPD
• Emily Lindsay Staggs, N.P.

  • Nurse Practitioner
  • Fort Smith, AR
  • NPI 1053606145
  Medicare reassignment Care Compare group NPD
• Bryce Bass, PA

  • Physician Assistant
  • Fort Smith, AR
  • NPI 1497307664
  Medicare reassignment Care Compare group
• Melanie L. Myers, P.A.

  • Physician Assistant
  • Fort Smith, AR
  • NPI 1841616604
  Medicare reassignment Care Compare group
• Spencer McClure, MD

  • MOHS-Micrographic Surgery Physician
  • Fort Smith, AR
  • NPI 1619554235
  NPD
• John R. Zade, M.D.

  • Dermatology Physician
  • Yuma, AZ
  • NPI 1962931964
  NPD

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1376780098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 DALLAS STREET",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-242-6647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-2778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176760002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.