Chelmsford Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHELMSFORD DERMATOLOGY, P.C.

Practice address

3 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 256-4151

Fax

(978) 256-3987

NPI assigned

Nov 1, 2005

Last updated

Aug 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

Andrew David Simkin, M.D.NPI 1730179623

Title

President/Owner

Phone

(978) 256-4151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

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.

• Andrew David Simkin, M.D.

  • Dermatology Physician
  • Chelmsford, MA
  • NPI 1730179623
  Medicare reassignment Care Compare group NPD Authorized official
• Seth G. Kates, M.D.

  • Dermatology Physician
  • Worcester, MA
  • NPI 1760473557
  Medicare reassignment Care Compare group NPD
• Yelena G Kisel, NP

  • Family Nurse Practitioner
  • Worcester, MA
  • NPI 1619201654
  Medicare reassignment Care Compare group NPD
• Christine Hulbert, PA-C

  • Physician Assistant
  • Chelmsford, MA
  • NPI 1407921778
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1669463493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4151",
            "fax_number": "978-256-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-4151",
            "fax_number": "978-256-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "SIMKIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-256-4151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9771719",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arjun Chawdhry, DMD
• Chelmsford Dental Associates
• Chelmsford Dental Care LLC
• Chelmsford Dental Group PC
• Chelmsford Dental Specialists Group PC
• Chelmsford Family Chiropractic P.C.
• Chelmsford Modern Dentistry, PC (Chelmsford Modern Dentistry)
• Chelmsford Optometric Associates PC
• Chelmsford Orthodontic Associates PC (Orthodontic Associates of New England)
• Chelmsford Pediatrics

• Dermatology Physician in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.