Triangle Dermatology Associates PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TRIANGLE DERMATOLOGY ASSOCIATES PA

Practice address

3008 Pickett Rd
Durham, NC 27705-6006

Phone

(919) 286-7903

Fax

(919) 286-7151

NPI assigned

May 20, 2006

Last updated

Sep 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Stephen Heinly, M.D.NPI 1376596379

Title

Owner

Phone

(919) 286-7903

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Stephen Heinly, M.D.

  • Dermatology Physician
  • Durham, NC
  • NPI 1376596379
  Medicare reassignment Care Compare group NPD Authorized official
• Steven Patrick Higgins, MD

  • Dermatology Physician
  • Durham, NC
  • NPI 1326245846
  Medicare reassignment Care Compare group NPD
• Pamina S Kim, MD

  • Dermatology Physician
  • Burlington, NC
  • NPI 1396760815
  Medicare reassignment Care Compare group NPD
• Emily Dare Privette, M.D.

  • Dermatology Physician
  • Durham, NC
  • NPI 1982023990
  Medicare reassignment Care Compare group NPD
• Teresa Ro, MD

  • Dermatology Physician
  • Durham, NC
  • NPI 1225566839
  Medicare reassignment Care Compare group NPD
• Win Yee Tcheung, M.D.

  • Dermatology Physician
  • Durham, NC
  • NPI 1750542528
  Medicare reassignment Care Compare group NPD
• Lawrence Etter, MD

  • Dermatology Physician
  • Durham, NC
  • NPI 1144202441
  Medicare reassignment NPD
• John F Carr, M.D.

  • Dermatology Physician
  • Durham, NC
  • NPI 1023195930
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1871547364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 PICKETT ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE DERMATOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "HEINLY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-286-7903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0279M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triangle Child Psychology, PLLC
• Triangle Chiropractic
• Triangle Chiropractic PC (Triangle Chiropractic)
• Triangle Chiropractic PLLC
• Triangle Community Physicians, P.a.
• Triangle E N T Services Association Inc
• Triangle Empowerment Center
• Triangle Geriatrics & Palliative Medicine, PLLC
• Triangle Health and Wellness
• Triangle Health and Wellness, LLC

• Dermatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.