Waterway Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WATERWAY DERMATOLOGY PLLC

Doing business as

Spyglass Dermatology

Practice address

20 Waterway Rd
Tequesta, FL 33469-2418

Phone

(561) 926-6150

Fax

(561) 264-3500

NPI assigned

Apr 27, 2020

Last updated

Jun 5, 2024By 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

Ryan Alan Schuering, DONPI 1942684568

Title

Medical Director

Phone

(561) 926-6150

Specialties & licenses 1

Addresses

Other names 1

• Spyglass Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

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 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.

• Ryan Alan Schuering, D.O.

  • Dermatology Physician
  • Tequesta, FL
  • NPI 1942684568

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Cerminara, M.D.

  • Dermatology Physician
  • Stuart, FL
  • NPI 1356573315
  Medicare reassignment Care Compare group NPD
• Amelia G Damse, D.O., M.P.H.

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
  • NPI 1346546587

  Dermatology

  Medicare reassignment Care Compare group NPD
• Andrei P Gherghina, DO, MS

  • MOHS-Micrographic Surgery Physician
  • Boynton Beach, FL
  • NPI 1508225947

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kimberly Rose Cray, PA

  • Physician Assistant
  • Miami, FL
  • NPI 1700061645
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1932720372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WATERWAY RD",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692418",
            "telephone_number": "561-926-6150",
            "fax_number": "561-264-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WATERWAY RD",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692418",
            "telephone_number": "561-926-6150",
            "fax_number": "561-264-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 SE Monterey Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944512",
            "country_code": "US",
            "telephone_number": "561-926-6150",
            "fax_number": "561-264-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATERWAY DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SCHUERING",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-926-6150",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spyglass Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Village of Tequesta Florida Village of Tequesta (Tequesta Fire Rescue)
• Alberto Villalobos, DMD
• Sharon Ann Vitale, N.P.-C
• Walgreen Co (Walgreens #04916)
• Teodora C Walker, ARNP
• Shannon Watts, M.S. CCC-SLP
• Emily Wiedmayer, MS, RDN, LDN
• Kimberly Guffey Wojtusik, ARNP
• Michael Glenn Wolford, D.O.
• Roselyn Abellera Young, LMHC

• Dermatology Physician in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.