Dermatology of Gainesville LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY OF GAINESVILLE LLC

Doing business as

Dogwood Dermatology

Practice address

13575 NW 1St LN Ste 10
Newberry, FL 32669-3735

Phone

(352) 538-7821

NPI assigned

Sep 21, 2018

Last updated

Sep 24, 2020By 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

Michael B Cotter, MDNPI 1669492641

Title

Owner

Phone

(352) 371-2011

Specialties & licenses 1

Addresses

Other names 1

• Dogwood Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

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.

• Katherina Kobraei Basic, MD

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1457448342
  Medicare reassignment Care Compare group NPD
• Allison Jean Good, MD

  • Dermatology Physician
  • Newberry, FL
  • NPI 1457811317
  Medicare reassignment Care Compare group NPD
• Amy Marie Loyd, D.O.

  • Dermatology Physician
  • Ocala, FL
  • NPI 1851597009
  Medicare reassignment Care Compare group NPD
• Christina Leigh Mitchell, MD

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1316013105
  Medicare reassignment Care Compare group NPD
• Elizabeth Labuz Noble, M.D.

  • MOHS-Micrographic Surgery Physician
  • Newberry, FL
  • NPI 1568606572

  Dermatology

  Medicare reassignment Care Compare group NPD
• Elizabeth Mei Lan Beadles, PA-C

  • Physician Assistant
  • Lakewood Ranch, FL
  • NPI 1679092738
  Medicare reassignment Care Compare group
• Stephanie Marie Penny, P.A.

  • Physician Assistant
  • Newberry, FL
  • NPI 1447251830
  Medicare reassignment Care Compare group
• Adam V Ping, PA-C

  • Medical Physician Assistant
  • Gainesville, FL
  • NPI 1669482865
  Medicare reassignment Care Compare group
• Michael Brian Cotter, M.D.

  • Obstetrics & Gynecology Physician
  • Gainesville, FL
  • NPI 1669492641
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1437633880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 10",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-260-0170",
            "fax_number": "352-559-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 10",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-538-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY OF GAINESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-371-2011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dogwood Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Marie Csongedi, PMHNP-BC
• Bret Tyson Dampier, RPH
• Ashton Janae Davis
• Karen Camille Day, RN
• Kimberley De la Cerda, RN
• Diaz & Diaz, Inc (Best Drugs of Newberry)
• Direct Care Chiropractic LLC
• Nhi Doan, DMD
• Dr Rhonda Boggi LLC
• Dr. B's Kids, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.