Cutisco LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CUTISCO LLC

Doing business as

CutisCo Dermatology

Practice address

2240 Coliseum Dr Ste D
Hampton, VA 23666-5903

Phone

(888) 321-7170

NPI assigned

Nov 21, 2024

Last updated

Apr 8, 2025By 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

Dr. Anh PhamNPI 1932582467

Title

Medical Director

Phone

(888) 321-7170

Specialties & licenses 5

Addresses

Other names 1

• CutisCo Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

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 5

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.

• Anh K Pham, M.D.

  • Dermatology Physician
  • Hampton, VA
  • NPI 1932582467
  Medicare reassignment Care Compare group NPD Authorized official
• Allison Helen Britt Kimmins, MD

  • Dermatology Physician
  • Newport News, VA
  • NPI 1437230695
  Medicare reassignment Care Compare group NPD
• Stephanie Andrea Castillo, MD

  • Dermatology Physician
  • Hampton, VA
  • NPI 1487115176
  Medicare reassignment NPD
• Carissa Lynn Pardekooper, PA-C

  • Physician Assistant
  • Hampton, VA
  • NPI 1063815017
  Medicare reassignment NPD
• Richard Kyle Manning, FNP-C

  • Family Nurse Practitioner
  • Hampton, VA
  • NPI 1316838840
  NPD

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1427873736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TODDS LN # 310",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663123",
            "telephone_number": "888-321-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 COLISEUM DR STE D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665903",
            "telephone_number": "888-321-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTISCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "888-321-7170",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CutisCo Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CutisCo Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Cunningham IV, LPC
• Donna Smith Curley, RN
• Curtis W Dailey DDS PLLC (Dailey Orthodontics)
• Nicole Curtis, COTA/L
• Walter Robert Scott Curtis Jr., M.D.
• Kari Kathleen Cwiak, DMD
• Cynthia's Village Home and Healthcare Services, LLC
• Rachael Dabkowski, PHD
• Diann Mary Dacierno, OTR/L
• Alexis Daggett, OTR/L

• Dermatology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.