The Arts & Science of Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101231913 Issued in VA

Legal business name

THE ARTS & SCIENCE OF DERMATOLOGY, PC

Practice address

4320 Brambleton Ave
Suite B
Roanoke, VA 24018-3405

Phone

(540) 345-3556

Fax

(540) 342-2193

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Allison K Divers, MDNPI 1770549826

Title

President

Phone

(540) 345-3556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Allison K Divers, MD

  • Dermatology Physician
  • Roanoke, VA
  • NPI 1770549826
  NPD (past) Authorized official
• Terri Blomberg, PA

  • Physician Assistant
  • Roanoke, VA
  • NPI 1073935417
  NPD (past)
• Patricia R Carlton, NP

  • Nurse Practitioner
  • Roanoke, VA
  • NPI 1164741369
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1992730519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18237",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140824",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BRAMBLETON AVE",
            "address_2": "SUITE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183405",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARTS & SCIENCE OF DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "DIVERS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101231913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "184066",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayush Sureshbhai Thakkar
• Mentor Thaqi, DPM/PHD
• Amy M. Tharp, MD
• Anusha Singh Thayagan, OTR
• Albert Joseph Thayil, D.O.
• The Bearded LCSW, LLC
• The Center for Emotional Wellness
• The Center for Ultra Health LLC
• The Doctors Office, PC
• The Excellence Edge Inc.

• Dermatology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.