Virginia Dermatology & Skin Surgery Center

Primary specialty

Clinical Informatics (Pathology) PhysicianTaxonomy code 207ZC0008X

Legal business name

VIRGINIA DERMATOLOGY & SKIN SURGERY CENTER

Practice address

1985 Jefferson Davis Highway
Fredericksburg, VA 22401

Phone

(540) 373-6647

Fax

(540) 479-1656

NPI assigned

Jun 25, 2018

Organization subpart

Yes

Parent organization

VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTERAs reported in NPPES

Name

Mark Eid, MD

Title

Owner

Phone

(540) 373-6647

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Virginia Dermatology and Skin Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Fredericksburg, VA
  • NPI 1598056582
  NPPES parent name

Part of

Virginia Dermatology and Skin Surgery Center

• Virginia Dermatology & Skin Surgery Center Lab Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2018.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1437644341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 JEFFERSON DAVIS HIGHWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-373-6647",
            "fax_number": "540-479-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 JEFFERSON DAVIS HIGHWAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-373-6647",
            "fax_number": "540-479-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DERMATOLOGY & SKIN SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "EID",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-373-6647",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Informatics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Dermatology & Skin Surgery Center Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Virginia CVS Pharmacy, L.L.C.
• Virginia CVS Pharmacy, L.L.C.
• Virginia CVS Pharmacy, LLC
• Virginia Dental & Anesthesia Associates
• Virginia Dept. of Public Health
• Virginia Dermatology and Skin Surgery Center
• Virginia Healthcare Services of Fredericksburg
• Virginia Integrative Psychiatry, PC
• Virginia Interventional Spine Associates PC
• Virginia Oncology Care,PC

• All providers in Fredericksburg, VA
• Clinical Informatics (Pathology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.