Active NPI
Advanced Dermatology & Skin Surgery Specialists PA
- Dermatology Physician
- Naples, FL
National Provider Identifier
1558579284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ADVANCED DERMATOLOGY & SKIN SURGERY SPECIALISTS PA
- Practice address
- 1000 Goodlette Rd N
Suite 100
Naples, FL 34102-5474 - Phone
- (239) 529-3376
- Fax
- (239) 643-0094
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Dee Glaeser
- Title
- Practice Administrator
- Phone
- (239) 529-3376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1000 Goodlette Rd N
Suite 100
Naples, FL 34102-5474
Mailing address
1000 Goodlette Rd N
Suite 100
Naples, FL 34102-5474
Phone (239) 649-8384
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0939337 | Advanced Dermatology & Skin Surgery Specialists PA | Provider-performed microscopy | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
1000 Goodlette Rd
Naples, FL 34102
Phone (239) 643-2112
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Procedural Dermatology Physician
- Bonita Springs, FL
- NPI 1134183718
-
- Internal Medicine Physician
- Naples, FL
- NPI 1730268996
-
- Procedural Dermatology Physician
- Naples, FL
- NPI 1770518144
-
- Nurse Practitioner
- Port Charlotte, FL
- NPI 1780772210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1558579284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 GOODLETTE RD N",
"address_2": "SUITE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025474",
"telephone_number": "239-649-8384",
"fax_number": "239-643-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 GOODLETTE RD N",
"address_2": "SUITE 100",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025474",
"telephone_number": "239-529-3376",
"fax_number": "239-643-0094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DERMATOLOGY & SKIN SURGERY SPECIALISTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "GLAESER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "239-529-3376"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Advance Medical of Naples
- Advance Medical of Naples LLC
- Advanced Chiropractic Health & Awareness Center, LLC
- Advanced Critical Care Lung and Sleep, LLC
- Advanced Dermatologic & Cosmetic Institute Inc
- Advanced Direct Primary Care
- Advanced Gastroenterology of Naples, LLC
- Advanced Gynecology Inc
- Advanced Innovation Technologies, LLC (AI Med-Tech)
- Advanced Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.