Treherne Dermatology and Skin C Are Center LLC.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

0101247612 Issued in VA

Legal business name

TREHERNE DERMATOLOGY AND SKIN C ARE CENTER LLC.

Practice address

2207 Executive Dr
Suite a
Hampton, VA 23666-2478

Phone

(757) 838-8525

Fax

(757) 838-8527

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Annyce Catherine Treherne, MDNPI 1073770905

Title

President

Phone

(757) 838-8525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Annyce Christina Treherne, MD

  • Specialist
  • Hampton, VA
  • NPI 1073770905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1821439696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662478",
            "telephone_number": "757-838-8525",
            "fax_number": "757-838-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662478",
            "telephone_number": "757-838-8525",
            "fax_number": "757-838-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREHERNE DERMATOLOGY AND SKIN C ARE CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "TREHERNE",
        "authorized_official_first_name": "ANNYCE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-838-8525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101247612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trish Tran
• Tranquility Place LLC
• Transitions Empowerment Associates
• Lea Spencer Trant, LPC
• Tamika N Traynham, M.A. CCC-SLP
• Annyce Christina Treherne, MD
• Tremont Road Dental Super, P.C. (Spencer Dental)
• Tremont Road Dental, PC (Spencer Dental)
• Amanda Trent, LPC
• Fallon Trent, PSY.D

• Medical Specialty Clinic/Center in Hampton, VA
• Providers in Hampton, VA by specialty
• Medical Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.