Germantown Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GERMANTOWN DERMATOLOGY LLC

Practice address

8000 Wolf River Blvd Ste 100
Germantown, TN 38138-1756

Phone

(901) 579-7395

Fax

(901) 425-9813

NPI assigned

Jun 29, 2022

Last updated

Oct 17, 2022By 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

Joseph Pietrangelo, MDNPI 1376800979

Title

Owner

Phone

(901) 579-7395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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 2

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.

• Joseph Pietrangelo, M.D.

  • Dermatology Physician
  • Germantown, TN
  • NPI 1376800979
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Lohman, NP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1942230065
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1932831740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17346",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870346",
            "telephone_number": "901-218-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WOLF RIVER BLVD STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381756",
            "telephone_number": "901-579-7395",
            "fax_number": "901-425-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "PIETRANGELO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-579-7395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annese Jaffery Geraci, OT
• Germantown Ambulatory Surgical LLC
• Germantown Behavioral Solutions PLLC
• Germantown Chiropractic Clinic PLLC
• Germantown Dental Group
• Germantown Emergency Physicians, PLLC
• Germantown Internal Medicine Associates,PC
• Germantown OB-GYN Group PLLC
• Germantown Private Psychiatry PLLC
• Germantown Psychological Associates PC

• Dermatology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.