Center for Advanced Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CENTER FOR ADVANCED DERMATOLOGY LLC

Practice address

3455 S Yarrow St
Lakewood, CO 80227

Phone

(303) 989-5231

Fax

(303) 989-9785

NPI assigned

Aug 9, 2006

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michaela W McDonnell, MDNPI 1245348036

Title

Managing Partner

Phone

(303) 989-5231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  Member Of

  NPD member

Locations

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michaela W McDonnell, MD

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1245348036
  Medicare reassignment Care Compare group NPD Authorized official
• Harleen Arora, MD

  • Dermatology Physician
  • Denver, CO
  • NPI 1205332764
  Medicare reassignment Care Compare group NPD
• Mary Brady, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lakewood, CO
  • NPI 1922486695

  Dermatology

  Medicare reassignment Care Compare group NPD
• Michelle Therese Chevalier, M.D.

  • Dermatology Physician
  • Littleton, CO
  • NPI 1508177700
  Medicare reassignment Care Compare group NPD
• Bryan Neil Coffing, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakewood, CO
  • NPI 1437272705
  Medicare reassignment Care Compare group NPD
• Jade Francis Fettig, M.D.

  • Dermatology Physician
  • Greenwood Village, CO
  • NPI 1699153478
  Medicare reassignment Care Compare group NPD
• Kira Rand Giovanielli, M.D.

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1497703185
  Medicare reassignment Care Compare group NPD
• Channing Summer Hood

  • Dermatology Physician
  • Denver, CO
  • NPI 1649739848
  Medicare reassignment Care Compare group NPD
• David L Hurt, MD

  • Dermatology Physician
  • Lakewood, CO
  • NPI 1134237928
  Medicare reassignment Care Compare group NPD
• Emily Kathryn Nesbitt

  • Dermatology Physician
  • Denver, CO
  • NPI 1225667173

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mary Ann Straley, NP

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1780791731
  Medicare reassignment Care Compare group NPD
• Tiffany Lee Tello, M.D.

  • Dermatology Physician
  • Littleton, CO
  • NPI 1457793283
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1497765762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 S YARROW ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-989-5231",
            "fax_number": "303-989-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 S YARROW ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80227",
            "telephone_number": "303-989-5231",
            "fax_number": "303-989-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-989-5231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.