Advanced Dermatology, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35716020 Issued in WI

Legal business name

ADVANCED DERMATOLOGY, INC.

Practice address

6510 Grand Teton PLZ Ste 302
Madison, WI 53719-1029

Phone

(608) 826-0285

Fax

(608) 826-0281

NPI assigned

Apr 9, 2007

Last updated

Jun 10, 2020By 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. Harry H Sharata, M.D., PH.DNPI 1275595753

Title

Dermatologist,Medical Director

Phone

(608) 826-0825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 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.

• Harry H Sharata, MD, PH.D.

  • Specialist
  • Madison, WI
  • NPI 1275595753
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Tran, MD

  • Dermatology Physician
  • Madison, WI
  • NPI 1871172809
  Medicare reassignment Care Compare group NPD
• Shelley Marie Schuler, P.A.

  • Physician Assistant
  • Louisville, KY
  • NPI 1861653214

  WI

  Medicare reassignment Care Compare group
• Brielle Hanson

  • Physician Assistant
  • Madison, WI
  • NPI 1578418794
  NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1740303395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 GRAND TETON PLZ",
            "address_2": "SUITE 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191029",
            "telephone_number": "608-826-0285",
            "fax_number": "608-826-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 GRAND TETON PLZ STE 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191029",
            "telephone_number": "608-826-0285",
            "fax_number": "608-826-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535665356",
            "country_code": "US",
            "telephone_number": "608-329-5773",
            "fax_number": "608-329-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "SHARATA",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DERMATOLOGIST,MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "608-826-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "35716020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Madison, WI
• Providers in Madison, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.