TRICITIES SKIN AND CANCER – NPI #1295824415
Dermatology

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.

TRICITIES SKIN AND CANCER is a dermatologist located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1295824415 to TRICITIES SKIN AND CANCER on October 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRICITIES SKIN AND CANCER below.

NPI Profile for
TRICITIES SKIN AND CANCER

NPI Number
1295824415
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRICITIES SKIN AND CANCER
Primary location
1009 N STATE OF FRANKLIN ACCESS ROAD SUITE A
JOHNSON CITY, TN 37604
Phone: (423) 929-7546 Fax: (423) 929-7968
1 Other location(s):
1404 Tusculum Blvd Ste 1100
Greeneville, TN 37745-4395
Phone: (423) 929-7546
Fax: (423) 929-7968
Mailing address
1009 N STATE OF FRANKLIN ACCESS ROAD
SUITE A
JOHNSON CITY, TN 37604-3693
Phone: (423) 929-7546 Fax: (423) 929-7968
Organization Subpart
No
Authorized Official
BRENDA STUFFLESTREET
PRACTICE ADMINISTRATOR
Phone: (423) 722-0565
Updated
Identifiers

Identifiers for TRICITIES SKIN AND CANCER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECROSS/BLUESHIELDTN3150220
OTHERRR MEDICARETNCH2549
MEDICAIDTN3720640
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.