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

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.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413

  Member Of

  NPD member

Locations

Practitioners 34

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

• 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.