Hendersonville Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

33967 Issued in NC

Legal business name

HENDERSONVILLE DERMATOLOGY, PLLC

Practice address

15 Market Center Dr
Ste a
Flat Rock, NC 28731-8528

Phone

(828) 697-1170

Fax

(828) 698-4939

NPI assigned

Jan 12, 2016

Last updated

Jan 17, 2019By 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

Seth Joseph Cohen, MDNPI 1780638437

Title

Owner

Phone

(828) 697-1170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 3

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.

• Seth Cohen, M.D.

  • Dermatology Physician
  • Flat Rock, NC
  • NPI 1780638437
  Medicare reassignment NPD Authorized official
• Jacqueline Marie Selph, M.D.

  • Dermatology Physician
  • Flat Rock, NC
  • NPI 1609219039
  Medicare reassignment Care Compare group NPD
• Brianna Dallison Wiener, NP-C

  • Family Nurse Practitioner
  • Hendersonville, NC
  • NPI 1770838864
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1770949398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MARKET CENTER DR STE A",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318529",
            "telephone_number": "828-697-1170",
            "fax_number": "828-698-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MARKET CENTER DR",
            "address_2": "STE A",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318528",
            "telephone_number": "828-697-1170",
            "fax_number": "828-698-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-697-1170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "33967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hand Developmental Center
• Henderson County Hospital Corp (Pardee Care Center)
• Henderson County Hospital Corporation (Pardee Home Care)
• Henderson Opco, LLC (Stonecroft Assisted Living)
• Jennifer Lenore Henderson, NP-C
• Hendersonville Health and Rehabilitation
• Ronald Walter Hertwig Jr.
• Winnie Claire Hicks, M.D.
• Nina Hill, PHARMD
• Amy Elizabeth Hinton, MD

• Dermatology Physician in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.