CRYSTAL COAST DERMATOLOGY SERVICES, PA – NPI #1841344843
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

CRYSTAL COAST DERMATOLOGY SERVICES, PA is a dermatologist located in MOREHEAD CITY, NC. NPPES has assigned the NPI number 1841344843 to CRYSTAL COAST DERMATOLOGY SERVICES, PA on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 CRYSTAL COAST DERMATOLOGY SERVICES, PA below.

NPI Profile for
CRYSTAL COAST DERMATOLOGY SERVICES, PA

NPI Number
1841344843
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
CRYSTAL COAST DERMATOLOGY SERVICES, PA
Primary location
3610 MEDICAL PARK COURT
MOREHEAD CITY, NC 28557
Phone: (252) 808-3376 Fax: (252) 808-2095
Mailing address
PO BOX 927
MOREHEAD CITY, NC 28557-0927
Phone: (252) 808-3376 Fax: (252) 808-2095
Organization Subpart
No
Authorized Official
EARL GROSS
PRESIDENT
Phone: (252) 808-3376
Updated
Identifiers

Identifiers for CRYSTAL COAST DERMATOLOGY SERVICES, PA

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
OTHERBLUE CROSS OF NCNC011A5
MEDICAIDNC89011A5
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
207ND0900X
- Dermatology / Dermatopathology (Primary)
NC 99-00855

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.