SKIN & ALLERGY CENTER (SPRING HILL DERMATOLOGY PLC) NPI 1003028770

Dermatology in Spring Hill, TN

NPI 1003028770 Organization Dermatology CLIA Number 44D2007076 CLIA Certificate of Compliance

About SKIN & ALLERGY CENTER (SPRING HILL DERMATOLOGY PLC)

Skin & Allergy Center (spring Hill Dermatology Plc) is a provider established in Spring Hill, Tennessee specializing in dermatology. The NPI number of Skin & Allergy Center (spring Hill Dermatology Plc) is 1003028770 and was assigned on May 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Skin & Allergy Center (spring Hill Dermatology Plc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Skin & Allergy Center. The authorized official of this NPI record is Benjamin B Hayes Md (Member)

A dermatologist like Skin & Allergy Center is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

The CLIA number of Skin & Allergy Center is 44D2007076 registered as a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Skin & Allergy Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1003028770

Provider NameSKIN & ALLERGY CENTER (SPRING HILL DERMATOLOGY PLC)
Provider Location Address1229 RESERVE BLVD SUITE 200 SPRING HILL, TN 37174
Provider Mailing Address100 BLYTHEWOOD DR STE A COLUMBIA, TN 38401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSKIN & ALLERGY CENTER
Other Name TypeDoing Business As (3)
Enumeration Date05-04-2007
Last Update Date11-21-2018


Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA 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.

Business Address

SKIN & ALLERGY CENTER
1229 RESERVE BLVD
SUITE 200
SPRING HILL, TN
ZIP 37174
Phone: (615) 302-5000

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Mailing Address

SKIN & ALLERGY CENTER
100 BLYTHEWOOD DR STE A
COLUMBIA, TN
ZIP 38401
Phone: (615) 302-5000



Secondary Locations

3098 Campbell Station Parkway Suite A201
Spring Hill, TN 37174
(615) 302-5000

Authorized Official

Authorized Official Name BENJAMIN B HAYES MD
Authorized Official TitleMEMBER
Authorized Official Phone(615) 302-5000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003028770 is:

CLIA Number44D2007076
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Compliance

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114074093 CHRISTOPHER ROBB MD
Individual
Dermatology (Pediatric Dermatology)1229 RESERVE BLVD SUITE 200
SPRING HILL, TN 37174
(615) 302-5000
1417085606 RYAN RICHARD SULLIVAN M.D.
Individual
Allergy & Immunology (Allergy)1229 RESERVE BLVD SUITE 200
SPRING HILL, TN 37174
(615) 302-5000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.