Active NPI
Dogwood Dermatology PC
- Dermatology Physician
- Staunton, VA
National Provider Identifier
1801716568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.