Comprehensive Dermatology and Dermatologic Surgery, PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME105564 Issued in FL

Legal business name

COMPREHENSIVE DERMATOLOGY AND DERMATOLOGIC SURGERY, PLC

Practice address

201 N Lakemont Ave
Suite 100
Winter Park, FL 32792-3228

Phone

(407) 339-7546

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Yvette Mejia

Title

Billing Supervisor

Phone

(407) 339-7546

Specialties & licenses 6

Addresses

Other names 1

• Comprehensive Dermatology and Facial Plastic Surgery Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Ho, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1518969849
  NPD (past)
• Jenelle Hovde

  • Audiologist
  • Winter Park, FL
  • NPI 1346423308
  NPD (past)
• Izak Kielmovitch, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1326042672
  NPD (past)
• Jeffrey Lehman, MD

  • Otolaryngology Physician
  • Winter Park, FL
  • NPI 1972505204
  NPD (past)
• Teresa Pitts

  • Speech-Language Pathologist
  • Winter Park, FL
  • NPI 1861456915
  NPD (past)
• Heidi Sanders Sedaros, AU.D.

  • Audiologist
  • Winter Park, FL
  • NPI 1417051822
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1487093316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923228",
            "telephone_number": "407-339-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923228",
            "telephone_number": "407-339-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DERMATOLOGY AND DERMATOLOGIC SURGERY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "407-339-7546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME105564",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME105564",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME105564",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME105587",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME105587",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME105587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Dermatology and Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.