Provider Type Icon

DERMATOLOGY CENTER IN THE BERKSHIRES P.C. NPI 1356457949


NPI Information

NPI: 1356457949
Provider Name: DERMATOLOGY CENTER IN THE BERKSHIRES, P.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
780 MAIN ST
SUITE 9
GREAT BARRINGTON, MA
ZIP 01230
Phone: (413) 528-5184
Get Directions

DERMATOLOGY CENTER IN THE BERKSHIRES, P.C. is a dermatology in Great Barrington, MA. 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. DERMATOLOGY CENTER IN THE BERKSHIRES, P.C. NPI is 1356457949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

780 MAIN ST
SUITE 9
GREAT BARRINGTON, MA
ZIP 01230-148
Phone: (413) 528-5184
Fax: (413) 528-1077

The provider's authorized official is Scott L Goffin .
The authorized official title is President and has the following contact phone number (413) 528-5184.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/4/2007.


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
1207N00000XDermatology2077441MASSACHUSETTSYes

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
1A36824/M21498MEDICARE ID-TYPE UNSPECIFIED
2H55849MEDICARE UPINMASSACHUSETTS
32062763/9730940MEDICAIDMASSACHUSETTS
4M21498MEDICARE PIN

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.