Dermatology Associates of Fredericksburg

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101027880 Issued in VA

Legal business name

DERMATOLOGY ASSOCIATES OF FREDERICKSBURG

Practice address

2301 Fall Hill Ave
Suite106
Fredericksburg, VA 22401-3349

Phone

(540) 373-1080

Fax

(540) 373-1094

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry G Sacks, MD

Title

Owner President

Phone

(540) 373-1080

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1891812848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FALL HILL AVE",
            "address_2": "SUITE106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013349",
            "telephone_number": "540-373-1080",
            "fax_number": "540-373-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FALL HILL AVE",
            "address_2": "SUITE106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013349",
            "telephone_number": "540-373-1080",
            "fax_number": "540-373-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF FREDERICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "540-373-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101027880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS",
            "identifier": "100699",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005900425",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shania Dennis
• Dental One Associates (Fredericksburg) P.C.
• Dental Professionals of Virginia, P.C.
• Dental Professionals of Virginia, P.C.
• Derek J. Galatro, DDS, PC
• Dermatology Center PC
• Jason Todd Derting, LPTA
• Rebecca Derting, PTA
• Katherine Dervin, LCSW
• Meeta Desai, M.D.

• Specialist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.