Commonwealth Dermatology PSC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COMMONWEALTH DERMATOLOGY PSC

Practice address

2351 Huguenard Dr
Ste 200
Lexington, KY 40503-3022

Phone

(859) 276-0191

Fax

(859) 277-0466

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Diane C Sedoris

Title

Adm Assistant

Phone

(859) 276-0191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477559128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 HUGUENARD DR",
            "address_2": "STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033022",
            "telephone_number": "859-276-0191",
            "fax_number": "859-277-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUGUENARD DR",
            "address_2": "STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033022",
            "telephone_number": "859-276-0191",
            "fax_number": "859-277-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH DERMATOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEDORIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADM ASSISTANT",
        "authorized_official_telephone_number": "859-276-0191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison K Comick, APRN
• Carter Comisford, PHARMD, RPH
• Jamie Commerford, OTR/L
• Destiny Commodore, LCSW
• Commonwealth Anesthesia, PSC
• Commonwealth Eye Clinic Inc
• Commonwealth Family Clinic, PLLC
• Commonwealth Family Physicians PSC
• Commonwealth Gastroenterology Associates, PLLC
• Commonwealth Hand Therapy

• All providers in Lexington, KY
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.