Bella Derma, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BELLA DERMA, LLC

Doing business as

Aspen and Vail Dermatology

Practice address

1140 Edwards Village Blvd
Suite B200
Edwards, CO 81632

Phone

(970) 926-9226

Fax

(970) 926-8755

NPI assigned

Jul 16, 2006

Last updated

Dec 7, 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

Gheorghe Pusta

Title

Ceo

Phone

(512) 960-5760

Specialties & licenses 1

Addresses

Other names 1

• Aspen and Vail Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

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 26

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.

• Nicole M. Annest, M.D.

  • Dermatology Physician
  • Lafayette, CO
  • NPI 1205842051
  Medicare reassignment Care Compare group NPD
• Dorothy Winslow Blankenship, MD

  • Dermatology Physician
  • Edwards, CO
  • NPI 1255774329
  Medicare reassignment Care Compare group NPD
• Sidney Hoskins Buzaid, MD

  • Dermatopathology Physician
  • Durango, CO
  • NPI 1972130326

  Dermatology

  Medicare reassignment Care Compare group NPD
• Jeanie Hee-Kyung Chung, M.D., PHD

  • Dermatology Physician
  • Salida, CO
  • NPI 1962582817
  Medicare reassignment Care Compare group NPD
• Thomas Gordon Crabtree, M.D.

  • Plastic Surgery Physician
  • Telluride, CO
  • NPI 1801877394
  Medicare reassignment Care Compare group NPD
• Logan Debord, MD

  • Dermatology Physician
  • Frisco, CO
  • NPI 1104387794
  Medicare reassignment Care Compare group NPD
• Riley Greene, MD

  • Dermatology Physician
  • Littleton, CO
  • NPI 1326194945
  Medicare reassignment Care Compare group NPD
• Julia Kreger

  • Dermatology Physician
  • Denver, CO
  • NPI 1912311671
  Medicare reassignment Care Compare group NPD
• Claire Melissa Mann, APN

  • Adult Health Nurse Practitioner
  • Frisco, CO
  • NPI 1427520469
  Medicare reassignment Care Compare group NPD
• Karen B Nern, MD

  • MOHS-Micrographic Surgery Physician
  • Edwards, CO
  • NPI 1265542377
  Medicare reassignment Care Compare group NPD
• Drew Michael Taylor, M.D.

  • Dermatology Physician
  • Denver, CO
  • NPI 1003173154
  Medicare reassignment Care Compare group NPD
• Anthony Louis Timko, M.D.

  • Dermatology Physician
  • Salida, CO
  • NPI 1487647947
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1730106642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH RD. 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465",
            "fax_number": "512-628-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE B200",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-9226",
            "fax_number": "970-926-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA DERMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "PUSTA",
        "authorized_official_first_name": "GHEORGHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-960-5760"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen and Vail Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Brett Avidane, DPT
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• Paula S Barclay, RDH
• Barefoot Soul Healing, LLC
• Hannah Laurel Rose Benedict
• Lindsay Marie Bergman, PA-C
• Melvin Francis Betancourt, MSW
• Better Health Global LLC (Better Health Partners LLC)
• Kala Bettis, LPC, LAC

• Dermatology Physician in Edwards, CO
• Providers in Edwards, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.