Dermatologic and Mohs Surgery Consultants LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

0101248532 Issued in VA

Legal business name

DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC

Doing business as

Ridgeview Dermatology

Practice address

101 Candlewood CT
Suite 201
Lynchburg, VA 24502-2654

Phone

(434) 363-4190

Fax

(434) 363-4191

NPI assigned

Jan 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason D Givan, M.D.

Title

Owner

Phone

(434) 363-4190

Specialties & licenses 1

Addresses

Other names 1

• Ridgeview Dermatology Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorena Jauregui-Covarrubias, MD

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1861442741
  NPD

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1750703666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CANDLEWOOD CT",
            "address_2": "SUITE 201",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANDLEWOOD CT",
            "address_2": "SUITE 201",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIC AND MOHS SURGERY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "GIVAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-363-4190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101248532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Seale Den Boef, BSW
• Sylvia Denton, ACNP
• Anne Depasquale, M.D.
• Marcus Dequina
• Amy Ruble Deramus, LPTA
• Dermatology Consultants, Inc.
• Amanda Desmarais, MA
• Stephen James Despins, D.O.
• Samuel T Detwiler, D.O.
• Catherine Prince Deuchler

• MOHS-Micrographic Surgery Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• MOHS-Micrographic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.