Organization Active NPI

Dogwood Dermatology PC

  • Dermatology Physician
  • Staunton, VA
National Provider Identifier
1801716568
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DOGWOOD DERMATOLOGY PC
Practice address
427 Lee Jackson Hwy Ste 101
Staunton, VA 24401-9504
Phone
(540) 458-9450
Fax
(540) 237-1815
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Merrick Kozak, MD
Title
Owner
Phone
(540) 458-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

427 Lee Jackson Hwy Ste 101
Staunton, VA 24401-9504

Mailing address

427 Lee Jackson Hwy Ste 101
Staunton, VA 24401-9504
Phone (540) 458-9450

National Provider Directory

National Provider Directory

Locations

427 Lee Jackson Hwy
Ste 101
Staunton, VA 24401

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1801716568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LEE JACKSON HWY STE 101",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019504",
            "telephone_number": "540-458-9450",
            "fax_number": "540-237-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LEE JACKSON HWY STE 101",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244019504",
            "telephone_number": "540-458-9450",
            "fax_number": "540-237-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "MERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-458-9450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.