NPIMap

Organization Active NPI

Dermatology Associates of Pikeville, PLLC

  • Dermatology Physician
  • Pikeville, KY
National Provider Identifier
1811285117
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19685 Issued in KY
Legal business name
DERMATOLOGY ASSOCIATES OF PIKEVILLE, PLLC
Practice address
1098 S Mayo TRL Ste 211
Pikeville, KY 41501-1574
Phone
(606) 432-5532
Fax
(606) 432-9951
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Ronald D. Hall, M.D.
Title
Partner/Owner
Phone
(606) 432-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 19685 KY Primary

Addresses

Primary practice location

1098 S Mayo TRL Ste 211
Pikeville, KY 41501-1574

Mailing address

PO Box 2500
Pikeville, KY 41502-2500
Phone (606) 432-5532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1811285117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022500",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 S MAYO TRL STE 211",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011574",
            "telephone_number": "606-432-5532",
            "fax_number": "606-432-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF PIKEVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "606-432-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": "19685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.