Carolina Dermatology and Endocrinology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2008-01357 Issued in NC

Legal business name

CAROLINA DERMATOLOGY AND ENDOCRINOLOGY, PA

Practice address

244 Medspring Dr
Clayton, NC 27520-9293

Phone

(919) 359-0291

Fax

(919) 553-2907

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Sanjay Tomar, MDNPI 1215106836

Title

Owner

Phone

(919) 359-0291

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/71197

Practitioners 7

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

• Sanjay Tomar, M.D.

  • Dermatology Physician
  • Clayton, NC
  • NPI 1215106836
  Medicare reassignment Care Compare group NPD Authorized official
• Shivani Bashiyan Kaushik, M.D.

  • Dermatology Physician
  • Sanford, NC
  • NPI 1861806150

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Rashmi Tomar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Clayton, NC
  • NPI 1902001837
  Medicare reassignment Care Compare group NPD
• Mary Sheldon Beckwith, PA-C MHS

  • Physician Assistant
  • Durham, NC
  • NPI 1215362983
  Medicare reassignment Care Compare group
• Shannon Chariya Wendt Crowley, PA-C, MHS

  • Physician Assistant
  • Clayton, NC
  • NPI 1912475708
  Medicare reassignment Care Compare group
• Martha Ingram, PA-C

  • Physician Assistant
  • Clayton, NC
  • NPI 1669016200
  Medicare reassignment Care Compare group
• Jessica B Wagoner, PA-C

  • Physician Assistant
  • Clayton, NC
  • NPI 1841625126
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1962733170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MEDSPRING DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209293",
            "telephone_number": "919-359-0291",
            "fax_number": "919-553-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MEDSPRING DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209293",
            "telephone_number": "919-359-0291",
            "fax_number": "919-553-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DERMATOLOGY AND ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "TOMAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-359-0291",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2008-01357",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "2008-01358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Chiropractic Clinic, PC
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• Carolina Foot Specialists
• Carolina Outreach, LLC
• Carolina Spine and Disc Center
• David G Caron, LPA
• Luz Maria Carrasquillo

• Dermatology Physician in Clayton, NC
• Providers in Clayton, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.