Dermone Plastic Surgery Associates of North Carolina, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

DERMONE PLASTIC SURGERY ASSOCIATES OF NORTH CAROLINA, PA

Practice address

6752 Rock Spring Rd
Suite 200
Wilmington, NC 28405-3179

Phone

(910) 762-1070

Fax

(732) 731-6735

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Deidra Blanks, MD

Title

Physician

Phone

(910) 840-3093

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1710352992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DRIVE, SUITE 200",
            "address_2": "FOUR TOWER BRIDGE",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "848-240-2812",
            "fax_number": "732-731-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 ROCK SPRING RD",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053179",
            "telephone_number": "910-762-1070",
            "fax_number": "732-731-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMONE PLASTIC SURGERY ASSOCIATES OF NORTH CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-840-3093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Wellman Depasquale, CRNA
• Ashley Depriest, DO
• Dermatology Associates PA
• Dermatology Associates, PA
• Dermone of North Carolina PA
• Cassandra Desantis
• Yvonne Desmet, P.A.-C
• Policarpo Rodney Despaigne, PA-C
• Emily Despain, LCMHC-A
• Danielle Antoinette Dest, LCSW

• Plastic Surgery Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.