Virginias Dermatology, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

VIRGINIAS DERMATOLOGY, INC.

Practice address

1 Country Club HL
Bluefield, WV 24701-4467

Phone

(276) 326-3376

Fax

(276) 326-3046

NPI assigned

Sep 11, 2007

Last updated

Jun 16, 2008By 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

Teresa Tolliver

Title

Office Manager

Phone

(276) 326-3376

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Timothy Alan Highley, D.O.

  • Dermatology Physician
  • Hendersonville, NC
  • NPI 1366441560
  NPD (past)
• Daniel Steven Hurd, DO

  • Dermatology Physician
  • Blacksburg, VA
  • NPI 1841290897
  NPD (past)
• Clayton Leo Morgan Jr., PA-C

  • Physician Assistant
  • Richlands, VA
  • NPI 1174621726
  NPD (past)
• Julian M. Ngo, D.O.

  • MOHS-Micrographic Surgery Physician
  • Carlisle, PA
  • NPI 1689989675
  NPD (past)
• Lance F Yeoman, D.O.

  • Dermatology Physician
  • Poplar Bluff, MO
  • NPI 1396722765
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1902091101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 NEW HOPE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402354",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB HL",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014467",
            "telephone_number": "276-326-3376",
            "fax_number": "276-326-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIAS DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-326-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bell Vanover
• Sandeep Vardan, MD
• Milagros Mercedes Vidot, M.D.
• Vijaykumar R Phade MD PC
• Brandon Scott Vincent, PRSS
• Robert A Wade, O.D.
• Walgreen Co (Walgreens #17496)
• Walgreen Co. (Walgreens #17496)
• Chastity Leigh Walker, FNP-BC
• Kimberly Kay Waller-Brown, D.D.S.

• Dermatology Physician in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.