Novem Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

NOVEM DERMATOLOGY, P.A.

Practice address

17653 N Dale Mabry Hwy
Lutz, FL 33548-4535

Phone

(813) 590-2120

Fax

(813) 590-2125

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Marie Howe, MDNPI 1275854614

Title

Owner/Physician

Phone

(813) 927-1915

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00221

Practitioners 2

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.

• Nicole Marie Howe, MD

  • MOHS-Micrographic Surgery Physician
  • Lutz, FL
  • NPI 1275854614

  Dermatology

  NPD Authorized official
• Adam Edward Bennett, M.D.

  • Dermatology Physician
  • Tampa, FL
  • NPI 1689949059
  NPD

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1548863038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17653 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484535",
            "telephone_number": "813-590-2120",
            "fax_number": "813-590-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17653 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484535",
            "telephone_number": "813-590-2120",
            "fax_number": "813-590-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEM DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "813-927-1915",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "ME114420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Norris, DC
• North Bay Spine and Rehab
• Ariel Renee North
• Kendall Brodie Northcutt, PA-C
• Carolyn Ann Norton, DMD
• Nueva Vida Alf II Inc
• Kimberly Nunez, PHARMD
• Ryan Nurge, HIS
• Ann D. O'Brien, MA
• Morgan B O'Connor, M.S, CFY-SLP

• Dermatology Physician in Lutz, FL
• Providers in Lutz, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.