Dermatology and Skin Surgery Center of Cape Cod P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND SKIN SURGERY CENTER OF CAPE COD P.C.

Practice address

120 Yarmouth Rd
Hyannis, MA 02601-3040

Phone

(508) 957-1650

Fax

(508) 957-1655

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Emily P Tierney, MDNPI 1609087774

Title

Authorized Rep/Owner

Phone

(508) 957-1650

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Emily Patricia Tierney, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hyannis, MA
  • NPI 1609087774

  Dermatology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1497120802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-957-1650",
            "fax_number": "508-957-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013040",
            "telephone_number": "508-957-1650",
            "fax_number": "508-957-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN SURGERY CENTER OF CAPE COD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED REP/OWNER",
        "authorized_official_telephone_number": "508-957-1650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110108806A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Stephen Demerjian, DMD
• Samantha E Demers
• Elizabeth Dempsey
• Rebecca Marie Dempsey
• Kathleen Denham, LCSW
• Charles Paul Dermody, DDS
• Danielle Desimone, R.N.
• Lisa B Desmarais, RPH
• Donna Desousa, DO
• Leah Detellis

• Dermatology Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.