Dermatology & Skin Surgery Clinic

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY & SKIN SURGERY CLINIC

Practice address

110 Medical Center Dr
Paducah, KY 42003-7909

Phone

(270) 443-2471

Fax

(270) 443-5808

NPI assigned

Oct 4, 2006

Last updated

Oct 31, 2012By 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

Ms. Jeannie Hughes

Title

Office Manager

Phone

(270) 443-2471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 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.

• Jeffrey Don Case, MD

  • Legal Medicine
  • Paducah, KY
  • NPI 1710916176
  Medicare reassignment Care Compare group NPD
• Gretchen McCabe, APRN FNP-C

  • Family Nurse Practitioner
  • Paducah, KY
  • NPI 1780002899
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1639264401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037909",
            "telephone_number": "270-443-2471",
            "fax_number": "270-443-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037909",
            "telephone_number": "270-443-2471",
            "fax_number": "270-443-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & SKIN SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-443-2471",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R Delaney
• Delta Psychological Collective PLLC
• Michael Francis Demeo, DO
• Emma Denton
• Kelly R Derington, APRN
• James Devries
• Emily Dew
• Frederick Thane Deweese, M.D.
• Jan A Deweese, PTA
• Diagnostic Imaging Consultants, LTD

• Dermatology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.