Dermatology Clinic, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY CLINIC, P.C.

Practice address

3245 International Cir
Suite 200
Colorado Springs, CO 80910-3152

Phone

(719) 484-8840

Fax

(719) 484-8845

NPI assigned

Feb 13, 2009

Last updated

May 21, 2009By 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

Ken Waterhouse

Title

Third Party Administrator

Phone

(719) 484-8842

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• Direct secure messaging: elizabeth.piantanida@corhio.medicity.net
• Direct secure messaging: larry.cole@corhio.medicity.net
• Direct secure messaging: patrick.galaska@corhio.medicity.net

Practitioners 1

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.

• Elizabeth Winfield Piantanida, MD

  • Dermatology Physician
  • Colorado Springs, CO
  • NPI 1285739623
  NPD

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1427297431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 INTERNATIONAL CIR",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103152",
            "telephone_number": "719-484-8840",
            "fax_number": "719-484-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 INTERNATIONAL CIR",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103152",
            "telephone_number": "719-484-8840",
            "fax_number": "719-484-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "719-484-8842"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98058363",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Yovana Deras Flores
• Jeanne Ruth Derber, O.D.
• Kelly Dering, DNP, FNP-C, WHNP
• Jon Eric Derksen, M.D.
• Leah Derksen, NP
• Susan Gabrielle Dern, DO
• Jay F Derosa, MA, LPC
• Jenna Derosier, RBT
• Doreen Ann Deross, MS, LPC, CACIII
• Kaylee Marie Derra, FNP-BC

• Dermatology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.