STEPHANIE R. JACKSON CULLISON – NPI #1457705956
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

STEPHANIE JACKSON CULLISON is a dermatologist located in WILMINGTON, DE. NPPES has assigned the NPI number 1457705956 to STEPHANIE JACKSON CULLISON on April 20, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 5 years ago on Aug 16, 2021. 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 STEPHANIE JACKSON CULLISON below.

NPI Profile for
STEPHANIE R. JACKSON CULLISON

NPI Number
1457705956
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE R. JACKSON CULLISON
Primary location
3521 SILVERSIDE RD STE 1L
WILMINGTON, DE 19810-4900
Phone: (302) 477-1991 Fax:
2 Other location(s):
3660 Vista Ave
Saint Louis, MO 63110-2540
Phone: (314) 977-6100
Fax: (314) 977-6164
3708 5th Ave Ste 5
Pittsburgh, PA 15213-3427
Phone: (412) 647-4279
Mailing address
33 S 9TH ST, STE 740
JEFFERSON DERMATOLOGY ASSOCIATES
PHILADELPHIA, PA 19107-4408
Phone: (215) 503-6680 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)		 NY 303362

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.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2016
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
STEPHANIE JACKSON CULLISON is affiliated with the following medical group(s):
  • HOSPITAL
    • THOMAS JEFFERSON UNIVERSITY HOSPITAL
      111 SOUTH 11TH STREET
      PHILADELPHIA, PA 19107

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