Unknown Individual – Dermatology Physician, NPI 1407050818
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
207 Bulifants Blvd Ste C
Williamsburg, VA 231885732
Phone: (757) 564-8535
Type: Location
1248 Perimeter Pkwy Ste 482
Virginia Beach, VA 234545914
Phone: (757) 496-5085
Type: Location
733 Volvo Pkwy Ste 120
Chesapeake, VA 233201609
Phone: (757) 389-5544
Type: Location
1540 Breezeport Way Ste 100
Suffolk, VA 234353752
Phone: (757) 745-7261
Type: Location
11842 Rock Landing Dr Ste 120
Newport News, VA 236064437
Phone: (757) 595-8816
Type: Location
Secep Administrative Offices, 6160, Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States
SUITE 200A
NORFOLK, VA 235023933
Phone: (757) 622-6315
Fax: (757) 625-6940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23188)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | VA | 17003 | Destruction of 2-14 skin growths | 3869 | 696 |
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