Derrow Dermatology Associates LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME 100833 Issued in FL

Legal business name

DERROW DERMATOLOGY ASSOCIATES LLC

Practice address

800 N Maitland Ave
Suite #202
Maitland, FL 32751-4489

Phone

(407) 389-2020

Fax

(407) 389-2021

NPI assigned

Nov 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Amy Elise Derrow, MD

Title

Owner/Sole Provider

Phone

(407) 389-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Wendy M Alvarez, ARNP FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1497440218
  Medicare reassignment Care Compare group NPD
• Annie Cabrera

  • Physician Assistant
  • Maitland, FL
  • NPI 1720867740
  Medicare reassignment Care Compare group
• Amber Mohlman, PA-C

  • Physician Assistant
  • Maitland, FL
  • NPI 1871289280
  Medicare reassignment Care Compare group
• Amy Elise Witt, MD

  • Dermatology Physician
  • Maitland, FL
  • NPI 1932208006
  Medicare reassignment Care Compare group
• Catherine Yoo

  • Physician Assistant
  • Maitland, FL
  • NPI 1316831852
  Medicare reassignment NPD
• Kathleen Gibson, PA-C

  • Dermatology Physician
  • Maitland, FL
  • NPI 1063392272

  Single Specialty

  NPD

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

{
    "created_epoch": "1226793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226793600000",
    "number": "1952555039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE #202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514489",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE",
            "address_2": "SUITE #202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514489",
            "telephone_number": "407-389-2020",
            "fax_number": "407-389-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERROW DERMATOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-16",
        "last_updated": "2008-11-16",
        "status": "A",
        "authorized_official_last_name": "DERROW",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER/SOLE PROVIDER",
        "authorized_official_telephone_number": "407-389-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 100833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasha Dent
• Dentists of Maitland, PA
• Felicia Depina
• Linda Lyndsi Deprado, MHC
• Martin A Derita, L.C.S.W., B.C.D.
• Martin H. Derrow, M.D.
• Kimberly Detrio, COTA/L
• Avni Patel Dhaliwal, D.D.S.
• Gurpawan Dhaliwal, MD
• Veronica M Diaz-Diaz, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.