Valley Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

101058582 Issued in VA

Legal business name

VALLEY DERMATOLOGY, LLC

Practice address

2611 W Main St
Suite 1
Waynesboro, VA 22980-1600

Phone

(540) 221-6702

Fax

(540) 221-6704

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Keith A Knoell, M.D.NPI 1396748109

Title

Owner

Phone

(540) 221-6702

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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 4

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

• Keith Allen Knoell, M.D.

  • Dermatology Physician
  • Waynesboro, VA
  • NPI 1396748109
  Medicare reassignment Care Compare group NPD Authorized official
• Eli Crisler

  • Family Nurse Practitioner
  • Waynesboro, VA
  • NPI 1437814068
  Medicare reassignment Care Compare group NPD
• Emily Hivick Schweickert, PA-C

  • Physician Assistant
  • Waynesboro, VA
  • NPI 1417639907
  Medicare reassignment Care Compare group
• Yara Roberta Beex White, PA-C

  • Physician Assistant
  • Asheville, NC
  • NPI 1669670444

  VA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902258064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801600",
            "telephone_number": "540-221-6702",
            "fax_number": "540-221-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801600",
            "telephone_number": "540-221-6702",
            "fax_number": "540-221-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KNOELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-221-6702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "101058582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11180924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE MEDICAL LICENSE",
            "identifier": "101058582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Quilpa Turner, M.ED., NCC
• Eric Utz
• Edith Karina Valles-Cruz
• Valley Behavior Consultation Services LLC
• Valley Community Services Board
• Valley Hope Counseling Center
• Valley Infusion LLC
• Valley Infusion LLC
• Valley Pastoral Counseling Center
• Valley Pediatric Group, PLC

• Dermatology Physician in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.