Patient and Derm LLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

PATIENT AND DERM LLC

Practice address

7250 Red Bug Lake Rd Ste 1020
Oviedo, FL 32765-9290

Phone

(407) 706-1770

Fax

(407) 706-1777

NPI assigned

Dec 5, 2022

Organization subpart

No

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

Authorized official

Name

Mikhail VaysbergNPI 1083639561

Title

Owner

Phone

(610) 529-0666

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mikhail Vaysberg, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Oviedo, FL
  • NPI 1083639561
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1538879267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E CONCORD ST UNIT 1",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011337",
            "telephone_number": "610-529-0666",
            "fax_number": "321-319-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 RED BUG LAKE RD STE 1020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659290",
            "telephone_number": "407-706-1770",
            "fax_number": "407-706-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT AND DERM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "VAYSBERG",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-529-0666"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinkal Prafullbhai Patel, MD
• Rhumit Patel, D.O.
• Ripal Patel
• Shruti Patel, RPH
• Pathway Counseling Ministry, Inc.
• Stefanie Vincenzina Patrone, MD
• Neil A Patterson, MD
• Sara Pavgouzas
• Jennifer Pazmino-Safken, LMHC
• April Dawn Peace

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.