Appalachian Spring Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

APPALACHIAN SPRING DERMATOLOGY, PLLC

Practice address

100 Village Dr
Suite 201
Fairmont, WV 26554-7986

Phone

(304) 368-0111

Fax

(304) 368-0411

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Beth Renee Santmyire-Rosenberger, MD, PHDNPI 1033114715

Title

Owner/Physician

Phone

(304) 368-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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

• Beth Renee Santmyire-Rosenberger, MD PHD

  • Dermatology Physician
  • Fairmont, WV
  • NPI 1033114715
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Lee Santmyire

  • Family Nurse Practitioner
  • Fairmont, WV
  • NPI 1407146954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1972797231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE DR",
            "address_2": "SUITE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547986",
            "telephone_number": "304-368-0111",
            "fax_number": "304-368-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE DR",
            "address_2": "SUITE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547986",
            "telephone_number": "304-368-0111",
            "fax_number": "304-368-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN SPRING DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SANTMYIRE-ROSENBERGER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-368-0111",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Pammer LLC Dba Pammerpsych
• Haley Anglin
• Anjaneyulu Thagirisa, M.D.
• Rebekah Christine Anyanwu
• Appalachian Counseling Center LLC
• Applegate Health Services, Inc
• Arbors of Fairmont
• Jennifer Arbuckle
• David C Arnold
• Stacey Artimez, DPT

• Dermatology Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.