Organization Active NPI

Pariser Dermatology Specialists LTD

  • Dermatology Physician
  • Norfolk, VA
National Provider Identifier
1417047952
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PARISER DERMATOLOGY SPECIALISTS LTD
Practice address
6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone
(757) 622-6315
Fax
(757) 622-7022
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Ms. Cannie Allen
Title
Delegated Official
Phone
(757) 622-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945

Mailing address

6160 Kempsville Cir
Suite 200 a
Norfolk, VA 23502-3933
Phone (757) 622-6315

Other practice location 1

510 Independence Pkwy Ste 600
Chesapeake, VA 23320-5220
Phone (757) 622-6315

Other practice location 2

207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Phone (757) 622-6315

Other practice location 3

4808 Courthouse St Ste 102
Williamsburg, VA 23188-2684
Phone (757) 622-6315

Other practice location 4

11842 Rock Landing Dr Ste 120
Newport News, VA 23606-4437
Phone (757) 622-6315

Other practice location 5

1248 Perimeter Pkwy Ste 482
Virginia Beach, VA 23454-5914
Phone (757) 622-6315

Other practice location 6

3907 Bridge Rd Ste 200
Suffolk, VA 23435-1133
Phone (757) 622-6315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001559 VA Part B Supplier - Clinic/Group Practice 7113902925 Receives reassigned benefits from 40 practitioners
Practice locations: Williamsburg, VA; Norfolk, VA; Virginia Beach, VA; Newport News, VA; Suffolk, VA; Chesapeake, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0229697Pariser Dermatology Specialists LTD6160 Kempsville Circle - Suite 200a, Norfolk, VA 23502ComplianceJul 26, 2028
49D0893619Pariser Dermatology Specialists11842 Rock Landing Rd, Ste 120, Newport News, VA 23606ComplianceMay 2, 2027
49D0918172Pariser Dermatology Specialists, LTD207 Bulifants Blvd, Williamsburg, VA 23188ComplianceFeb 19, 2027
49D0931785Pariser Dermatology Specialists LTD1248 Perimeter Parkway-Suite 482, Virginia Beach, VA 23454Provider-performed microscopyMay 31, 2028
49D2022169Pariser Dermatology Specialists3907 Bridge Road, Suite 200, Suffolk, VA 23435ComplianceAug 20, 2026
49D2072133Pariser Dermatology Specialists, LTD510 Independence Parkway Suite 600, Chesapeake, VA 23320ComplianceJun 10, 2027

National Provider Directory

National Provider Directory

Locations

15154 Carrollton Blvd
Ste B
Carrollton, VA 23314
Phone (757) 745-7261

510 Independence Pkwy
Ste 600
Chesapeake, VA 23320
Phone (757) 389-5544

733 Volvo Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 389-5544

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

3907 Bridge Rd
Ste 200
Suffolk, VA 23435
Phone (757) 745-7261

1540 Breezeport Way
Ste 100
Suffolk, VA 23435
Phone (757) 538-7275

1248 Perimeter Pkwy
Ste 482
Virginia Beach, VA 23454
Phone (757) 496-5085

207 Bulifants Blvd
Ste C
Williamsburg, VA 23188
Phone (757) 564-8535

207 Bulifants Blvd
#207
Williamsburg, VA 23188
Phone (757) 564-8535

4808 Courthouse St
Ste 102
Williamsburg, VA 23188

Practitioners & affiliated clinicians

Practitioners 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1417047952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 200 A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-622-6315",
            "fax_number": "757-625-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Independence Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205220",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Bulifants Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885732",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4808 Courthouse St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231882684",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11842 Rock Landing Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064437",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 Perimeter Pkwy Ste 482",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545914",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3907 Bridge Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351133",
            "country_code": "US",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARISER DERMATOLOGY SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CANNIE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "757-622-6315",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.