COMMONWEALTH DERMATOLOGY PC NPI 1013091115

NPI Information

  • NPI: 1013091115
  • Provider Name: COMMONWEALTH DERMATOLOGY, PC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 7001 FOREST AVE
    STE. 400
    RICHMOND, VA
    ZIP 23230
  • Phone: (804) 282-0831

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NPI Details

COMMONWEALTH DERMATOLOGY, PC is a dermatology in Richmond, VA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. COMMONWEALTH DERMATOLOGY, PC NPI is 1013091115. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7001 FOREST AVE
STE. 400
RICHMOND, VA
ZIP 23230-726
Phone: (804) 282-0831
Fax: (804) 288-7135

The provider's authorized official is Hazle Konerding .
The authorized official title is President and has the following contact phone number (804) 282-0831.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/3/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care0017137835VIRGINIANo
2207N00000XDermatology0101233942VIRGINIANo
3207ND0101XDermatologyMOHS-Micrographic Surgery0101238054VIRGINIANo
4207NP0225XDermatologyPediatric Dermatology0101053332VIRGINIANo
5207NP0225XDermatologyPediatric Dermatology0101044250VIRGINIANo
6363LF0000XNurse PractitionerFamily0017138217VIRGINIANo
7207N00000XDermatology0101026447VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C05739MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
23118456OTHERVIRGINIAAETNA GROUP NO.
3057917OTHERVIRGINIAANTHEM GROUP NO.
4CB6342OTHERVIRGINIARAILROAD MEDICARE

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: 11/21/2025

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