James River Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101238821 Issued in VA

Legal business name

JAMES RIVER DERMATOLOGY PLLC

Practice address

1316 Alverser Plaza
Midlothian, VA 23113

Phone

(804) 379-0116

Fax

(804) 379-1088

NPI assigned

Mar 17, 2009

Last updated

Jan 29, 2015By 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

Dr. Laura Elizabeth Regan, M.D.NPI 1053474759

Title

Physician

Phone

(804) 379-0116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• James River Dermatology PLLC

  • Procedural Dermatology Physician
  • Mechanicsville, VA
  • NPI 1023550654

  O20090529000396

  Same enrollment

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• James River Dermatology PLLC

  • Procedural Dermatology Physician
  • Mechanicsville, VA
  • NPI 1023550654
  NPPES parent name

Practitioners 10

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.

• Laura Elizabeth Regan, M.D.

  • Dermatology Physician
  • Midlothian, VA
  • NPI 1053474759
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Colby, FNP-BC

  • Family Nurse Practitioner
  • Midlothian, VA
  • NPI 1093340465
  Medicare reassignment Care Compare group NPD
• Leslie Mays Farr, FNP-BC

  • Family Nurse Practitioner
  • Mechanicsville, VA
  • NPI 1770829079
  Medicare reassignment Care Compare group NPD
• Brian Wayne McCauley, PA-C

  • Physician Assistant
  • Petersburg, VA
  • NPI 1073777306
  Medicare reassignment Care Compare group NPD
• Michele Jane Phillips, PA-C

  • Physician Assistant
  • Midlothian, VA
  • NPI 1346434396
  Medicare reassignment Care Compare group NPD
• William Stickney

  • Physician Assistant
  • Midlothian, VA
  • NPI 1881328532
  Medicare reassignment Care Compare group NPD
• Michael Craig White, M.D.

  • Dermatology Physician
  • Mechanicsville, VA
  • NPI 1255319349
  Medicare reassignment Care Compare group NPD
• Frederick Kim Park, M.D.

  • Plastic Surgery Physician
  • Rocky Mount, NC
  • NPI 1407964547

  VA

  Medicare reassignment Care Compare group NPD
• Kristen A Albright, PA-C

  • Physician Assistant
  • North Chesterfield, VA
  • NPI 1972794618
  Medicare reassignment Care Compare group
• Julie Elizabeth Diegelmann, PA-C

  • Physician Assistant
  • Middleburg Heights, OH
  • NPI 1962872119
  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1508007840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72605",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358017",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ALVERSER PLAZA",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-379-0116",
            "fax_number": "804-379-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES RIVER DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "REGAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "804-379-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101238821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James T. Rickman, IV., DDS., PC
• Jennifer James
• Stacey Q James

• Dermatology Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.