Stuart O Tafeen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200400421 Issued in NC

Practice address

1900 Ashwood CT
Greensboro, NC 27455-3005

Phone

(336) 282-1414

Fax

(336) 282-1515

NPI assigned

Apr 1, 2006

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complexions Dermatology, PCGroup PAC ID 5294977401, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complexions Dermatology, PC

  • Dermatology Physician
  • Danville, VA
  • NPI 1538502828

  NC

  Medicare reassignment Care Compare group NPD
• Carolina Dermatology Center

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1750490306
  NPD

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1508827098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-891-5524",
            "fax_number": "828-891-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ASHWOOD CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553005",
            "telephone_number": "336-282-1414",
            "fax_number": "336-282-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFEEN",
        "first_name": "STUART",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200400421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81405",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8981405",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stafeen10064@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1900 Ashwood Ct",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274553005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Josepth Taavon, M.D.
• Deborah Terry Tabb, NNP-BC
• Alexander Vincent Tabori, PH.D.
• Joan Lavonne Tackett, APN
• Tsukiryuu Tadayoshi
• Taft Transit LLC
• Muskaan Arshad Tahirkheli, FNP-C
• Tai Home Healthcare Services, PA
• Tailored Brain Health PLLC
• Taja Logistics LLC

• Dermatology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.