NPIMap

Organization Active NPI

Virginia Dermatology Skin Cancer Center Suffolk

  • Specialist
  • Suffolk, VA
National Provider Identifier
1497032205
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VIRGINIA DERMATOLOGY SKIN CANCER CENTER SUFFOLK
Practice address
1005 Commercial LN
Suite 230
Suffolk, VA 23434-8149
Phone
(757) 925-1890
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Amani N Jones
Title
Billing Coordinator
Phone
(757) 455-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1005 Commercial LN
Suite 230
Suffolk, VA 23434-8149

Mailing address

1005 Commercial LN
Suite 230
Suffolk, VA 23434-8149
Phone (757) 925-1890

Other names 1

  • virginia dermatology and skin cancer center suffolk Doing business as

National Provider Directory

National Provider Directory

Locations

12695 McManus Blvd
Ste A
Newport News, VA 23602
Phone (757) 351-2790

5630 Lowery Rd
Norfolk, VA 23502
Phone (757) 455-5009

1035 Champions Way
Ste 100
Suffolk, VA 23435
Phone (757) 394-1540

1005 Commercial Ln
Ste 230
Suffolk, VA 23434
Phone (757) 923-4500

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1497032205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-925-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COMMERCIAL LN",
            "address_2": "SUITE 230",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348149",
            "telephone_number": "757-925-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA DERMATOLOGY SKIN CANCER CENTER SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMANI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "757-455-5009"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "virginia dermatology and skin cancer center suffolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.