Dermatology Associates of Oak Ridge,PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DERMATOLOGY ASSOCIATES OF OAK RIDGE,PC

Practice address

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177

Phone

(865) 482-2129

Fax

(865) 482-4036

NPI assigned

Sep 15, 2006

Last updated

May 9, 2024By 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

Leland C SmithNPI 1508084807

Title

President/Dermatologist

Phone

(865) 482-2129

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Locations

Practitioners 12

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.

• Leland C Smith, M.D.

  • Dermatology Physician
  • Oak Ridge, TN
  • NPI 1508084807
  Medicare reassignment Care Compare group NPD Authorized official
• Jerry A Allen, NP

  • Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1285884429
  Medicare reassignment Care Compare group NPD
• Katherine Rau Kerchner, MD

  • MOHS-Micrographic Surgery Physician
  • Oak Ridge, TN
  • NPI 1700068384
  Medicare reassignment Care Compare group NPD
• Evgeniya Teterina Mohammed, MD

  • Dermatology Physician
  • Oak Ridge, TN
  • NPI 1255865234
  Medicare reassignment Care Compare group NPD
• Lauren Nicole Church, PA

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1700365384
  Medicare reassignment Care Compare group
• Emily Jo Hairfield, PA

  • Medical Physician Assistant
  • Oak Ridge, TN
  • NPI 1518404573
  Medicare reassignment Care Compare group
• Jerrin O Levy, PA-C

  • Medical Physician Assistant
  • Oak Ridge, TN
  • NPI 1588021356
  Medicare reassignment Care Compare group
• Andrew C Morgan, P.A.

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1558339002
  Medicare reassignment Care Compare group
• Derek Ramsey, PA-C

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1992218911
  Medicare reassignment Care Compare group
• Kegan Reilly, PA-C

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1669876561
  Medicare reassignment Care Compare group
• Donald A Sharp, M.D.

  • Dermatology Physician
  • Oak Ridge, TN
  • NPI 1780652230

  Specialist

  Medicare reassignment NPD
• Maya Shankaran Aravind, MD

  • Dermatology Physician
  • Ann Arbor, MI
  • NPI 1245679661

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1558467951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF OAK RIDGE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/DERMATOLOGIST",
        "authorized_official_telephone_number": "865-482-2129"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dea, MD, PC
• Cassandra Dejarnette, COTA
• Andrew Lee Delozier, MD
• Sonali Deo, MD
• Dermatology Assoc.of Oak Ridge,PC
• Devarshi J Desai, M.D.
• Sherry Dhom
• Stacey Dhom, MA
• Jordan Digiovanni, PA-C
• Regina Dill

• Specialist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.