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ADVANCED DERMATOLOGY AND SKIN SURGERY PA NPI 1215990700


NPI Information

NPI: 1215990700
Provider Name: ADVANCED DERMATOLOGY AND SKIN SURGERY, PA
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 34D1009875

Address:
16 MEDICAL PARK DR
ASHEVILLE, NC
ZIP 28803
Phone: (828) 274-4880
Get Directions

ADVANCED DERMATOLOGY AND SKIN SURGERY, PA is a dermatology in Asheville, NC. 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. ADVANCED DERMATOLOGY AND SKIN SURGERY, PA NPI is 1215990700. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16 MEDICAL PARK DR
ASHEVILLE, NC
ZIP 28803-493
Phone: (828) 274-4880
Fax: (828) 274-6868

The provider's authorized official is Daniel Israel Zivony .
The authorized official title is President/owner and has the following contact phone number (828) 274-4880.

The CLIA number assigned to this NPI record is 34D1009875 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/9/2015.


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
1207ND0101XDermatologyMOHS-Micrographic Surgery200201027NORTH CAROLINANo
2207ND0900XDermatologyDermatopathology200201027NORTH CAROLINANo
3207N00000XDermatology200201027NORTH CAROLINAYes

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
18913255MEDICAIDNORTH CAROLINA
22330268MEDICARE PINNORTH CAROLINA
313255OTHERNORTH CAROLINABLUE CROSS OF NORTH CAROL
42330268MEDICARE PINSOUTH CAROLINA
5=========OTHERNORTH CAROLINATRICARE

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: 11/14/2023

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