Active NPI
Hightower Dermatology Services, LLC
- Dermatology Physician
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME 95249
- Legal business name
- HIGHTOWER DERMATOLOGY SERVICES, LLC
- Practice address
- 957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671 - Phone
- (813) 634-1484
- Fax
- (813) 435-2023
- NPI assigned
- Jun 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kortney D Hightower, MD
- Title
- President
- Phone
- (813) 634-1484
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME 95249 | FL | Primary |
Addresses
Primary practice location
957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Mailing address
957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2167996 | Hightower Dermatology | Compliance | Oct 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
957 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-1484
Interoperability endpoints
- https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Sun City Center, FL
- NPI 1437181559
-
- Dermatology Physician
- Sun City Center, FL
- NPI 1104434745
-
- Adult Health Nurse Practitioner
- Sun City Center, FL
- NPI 1497788467
Dermatology
-
- Physician Assistant
- Jacksonville, FL
- NPI 1093596090
-
- Physician Assistant
- Spring Hill, FL
- NPI 1063643740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1740620178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 E DEL WEBB BLVD",
"address_2": "SUITE 101",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736671",
"telephone_number": "813-634-1484",
"fax_number": "813-435-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 E DEL WEBB BLVD",
"address_2": "SUITE 101",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736671",
"telephone_number": "813-634-1484",
"fax_number": "813-435-2023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHTOWER DERMATOLOGY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-29",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A",
"authorized_official_last_name": "HIGHTOWER",
"authorized_official_first_name": "KORTNEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-634-1484",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "FL",
"license": "ME 95249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.