Dermatology and Skin Cancer Center PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND SKIN CANCER CENTER PLLC

Practice address

4612 29TH Ave
Meridian, MS 39305-1652

Phone

(601) 512-0431

Fax

(601) 482-5065

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Emily K Matthews, DONPI 1639407331

Title

Owner

Phone

(601) 512-0431

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.

• Emily Kate Matthews, D.O.

  • Dermatology Physician
  • Meridian, MS
  • NPI 1639407331
  NPD (past) Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1598374258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722393",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708810",
            "telephone_number": "601-512-0431",
            "fax_number": "601-482-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 29TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051652",
            "telephone_number": "601-512-0431",
            "fax_number": "601-482-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN CANCER CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-512-0431",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Defatta, D.O.
• Lennie Morron Deleon
• Daniel D Denison, MD
• John Anderson Dent, PHARMD
• Dermatology & Skin Cancer Center PLLC
• Dermatology Center of Meridian PA
• Lasherish Derrick
• Diabetic Warehouse, LLC
• Diagnostic Tissue/Cytology Group, PLLC
• Diagnostic Tissue/Cytology Group, PLLC

• Dermatology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.