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MR. CHARLES VINCENT PERNICIARO M.D. NPI 1972557890


NPI Information

NPI: 1972557890
Provider Name: MR. CHARLES VINCENT PERNICIARO, M.D.
Classification: Dermatology - 207ND0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

CLIA Number: 10D2184665

Address:
10406 SEASIDE WAY
TAMPA, FL
ZIP 33615
Phone: (904) 860-1929
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MR. Charles Vincent Perniciaro, M.D. is a dermatopathology dermatology in Tampa, FL with 41 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. MR. Charles Vincent Perniciaro, M.D. NPI is 1972557890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1983

The provider's business location address is:

10406 SEASIDE WAY
TAMPA, FL
ZIP 33615-251
Phone: (904) 860-1929

The NPI 1972557890 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D2184665 - independent with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Special stained specimen slides to examine tissue (HCPCS:88341)

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology017322LOUISIANANo
2207N00000XDermatology28877MINNESOTANo
3207N00000XDermatology21961ARIZONANo
4207N00000XDermatologyK6231TEXASNo
5207ND0900XDermatologyDermatopathology2013-02379NORTH CAROLINANo
6207ND0900XDermatologyDermatopathology36240SOUTH CAROLINANo
7207ND0900XDermatologyDermatopathology51624FLORIDANo
8207ND0900XDermatologyDermatopathology042694GEORGIANo
9207ND0900XDermatologyDermatopathologyME51624FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1070014059OTHERFLORIDAMEDICARE RR
252332476003OTHERGEORGIABCBSGA
310287OTHERFLORIDABCBS FL
4000837075BMEDICAIDGEORGIA
5HY024AOTHERFLORIDAFL MEDAIACRE PTAN
6070014191OTHERGEORGIAMEDICARE RR
707BBSHBOTHERGEORGIAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.