Dermatology Associates of Lebanon, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD014933E Issued in PA

Legal business name

DERMATOLOGY ASSOCIATES OF LEBANON, LTD

Practice address

845 Norman Drive
Lebanon, PA 17042

Phone

(717) 273-8091

Fax

(707) 273-9081

NPI assigned

Jun 16, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ramsay S Kurban, MDNPI 1407854490

Title

Dermatologist/Dermatopathologist

Phone

(717) 273-8091

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Dermatology Associates of Lebanon LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dermatology Associates of Lebanon LTD

  • Specialist
  • Lebanon, PA
  • NPI 1245202076
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramsay S Kurban, MD

  • Specialist
  • Lebanon, PA
  • NPI 1407854490
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1568467652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NORMAN DRIVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-273-8091",
            "fax_number": "707-273-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NORMAN DRIVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-273-8091",
            "fax_number": "707-273-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF LEBANON, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "KURBAN",
        "authorized_official_first_name": "RAMSAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DERMATOLOGIST/DERMATOPATHOLOGIST",
        "authorized_official_telephone_number": "717-273-8091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD014933E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012800160001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCB/P-TAN",
            "identifier": "430864",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kathleen Depew, PHARM D
• Kaitlin L Deppert
• Anna Deraco, PA-C
• Lielt Kebede Derebew, MD
• Dermatology Associates of Lebanon LTD
• Developmental & Disability Services
• Evan Devitry
• April Rose Devoy
• Donna Lee Deyoung, RPH
• David Paul Deysher, D.O.

• Specialist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.