Dermatology Group PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5706 Issued in TN

Legal business name

DERMATOLOGY GROUP PC

Practice address

5210 Poplar Ave
Suite 100
Memphis, TN 38119-3515

Phone

(901) 761-0685

Fax

(901) 761-0688

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dan Alexander Dunaway, MD

Title

MD

Phone

(901) 761-0685

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992811277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 POPLAR AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193515",
            "telephone_number": "901-761-0685",
            "fax_number": "901-761-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 POPLAR AVE",
            "address_2": "SUITE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193515",
            "telephone_number": "901-761-0685",
            "fax_number": "901-761-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "901-761-0685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "5706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Budynas Depriest, LPC-MHSP
• Dept of Veterans Affairs Medical Center
• Leslie Cindy Derat, AU.D.
• Armo Derbarsegian, MD
• Christopher Charles Derenzo, M.D.
• Valerie Fults Dermon, DPH
• Megan Ann Derrer, MD
• David Derrick, CRNA
• Megan Dery, DO
• Jenish B Desai

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.