Dermatology Associates, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES, LLC

Practice address

50 Sewall St
Portland, ME 04102-2624

Phone

(207) 775-3526

Fax

(207) 775-5658

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rachel H Gormley, M.DNPI 1316267990

Title

MD/Owner

Phone

(207) 775-3526

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dermatology Associates LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

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 23

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

• Rachel Gormley, MD

  • Dermatopathology Physician
  • Portland, ME
  • NPI 1316267990
  Medicare reassignment Care Compare group NPD Authorized official
• David John Baginski, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1619915451
  Medicare reassignment Care Compare group NPD
• David Baird, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1700170149
  Medicare reassignment Care Compare group NPD
• Mairead Rebecca Baker

  • Dermatology Physician
  • Portland, ME
  • NPI 1265992259

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jennifer Woodbury Bragg, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1093921025
  Medicare reassignment Care Compare group NPD
• Nathan Hall Brewer, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1679610786

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Allen Thomas Bruce, MD PHD

  • Dermatology Physician
  • Portland, ME
  • NPI 1427175934
  Medicare reassignment Care Compare group NPD
• Soren Craig-Muller, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1205214798
  Medicare reassignment Care Compare group NPD
• Anthony Guzman

  • MOHS-Micrographic Surgery Physician
  • Portland, ME
  • NPI 1083024954
  Medicare reassignment Care Compare group NPD
• Kateri Jeffery, FNP-BC

  • Family Medicine Physician
  • Portland, ME
  • NPI 1649889874
  Medicare reassignment Care Compare group NPD
• Andrew Joselow, M.D.

  • Dermatology Physician
  • Portland, ME
  • NPI 1265963730
  Medicare reassignment Care Compare group NPD
• Lauren Ko, MD

  • Dermatology Physician
  • Portland, ME
  • NPI 1154826824

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1780635342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022624",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022624",
            "telephone_number": "207-775-3526",
            "fax_number": "207-775-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "GORMLEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "207-775-3526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131510100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Wellness PA LLC
• Robert R. Denton, PT
• Derek Libby DO
• Elizabeth Derhak, LPN
• Robert Anthony Derice, D.M.D.
• Richard L Derrick, CRNA
• Candice M Dersch, MD
• Allison Karen Desarro, DNP, CRNA
• Elyssa Deschaine, BCBA
• Jenna Deschamps, PA

• Dermatology Physician in Portland, ME
• Providers in Portland, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.