Dermatology Associates of Tampa Bay, LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

DERMATOLOGY ASSOCIATES OF TAMPA BAY, LLC

Practice address

6001 Memorial Hwy
Tampa, FL 33615-4531

Phone

(813) 884-1626

Fax

(813) 886-0589

NPI assigned

Jul 28, 2006

Last updated

Jun 12, 2023By 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

Dr. John Louis Millns Jr., M.D.NPI 1902895832

Title

Owner

Phone

(813) 884-1626

Specialties & licenses 1

Addresses

Other names 1

• John L Millns MD, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gulf Coast Dermatopathology Laboratory, Inc.

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1982693818

  Member Of

  NPD member

Practitioners 7

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.

• John Louis Millns Jr., M.D.

  • Dermatopathology (Pathology) Physician
  • Tampa, FL
  • NPI 1902895832
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Elaine Millns, PA-C

  • Dermatology Physician
  • Tampa, FL
  • NPI 1124334479
  Medicare reassignment Care Compare group
• Mustafa Mohammad, M.D.

  • Dermatopathology Physician
  • Tampa, FL
  • NPI 1598183659
  NPD
• Hugh Toland Stoddard III, MD

  • Dermatopathology Physician
  • Tampa, FL
  • NPI 1215374251
  NPD
• Nikki Vyas, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Oviedo, FL
  • NPI 1730573668
  NPD
• David Poshi Wang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1386987840
  NPD
• Charles Vincent Perniciaro, M.D.

  • Dermatopathology Physician
  • Tampa, FL
  • NPI 1972557890
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1649284563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154531",
            "telephone_number": "813-884-1626",
            "fax_number": "813-886-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154531",
            "telephone_number": "813-884-1626",
            "fax_number": "813-886-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF TAMPA BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "MILLNS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-884-1626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John L Millns MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison Corinne Derespino, M.D.
• Derick Dermatology, PLLC
• Derick Dermatology, PLLC
• Derma Direct PLLC
• Dermatologist LLC
• Dermatology Group of Florida PA
• Dermatology Healthcare, LLC
• Dermatology Network of Florida, LLC
• Megan Dermer
• Charlotte Derr, M.D.

• Dermatopathology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.