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SHENANDOAH DERMATOLOGY, P.C.
NPI 1023484219
Specialist in Staunton, VA

Active since August 11, 2015CLIA Certified · 4 labs
1600 N COALTER ST, SUITE 19, STAUNTON, VA 24401(540) 885-4500(540) 885-4600 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shenandoah Dermatology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHENANDOAH DERMATOLOGY, P.C. (NPI 1023484219) is a healthcare organization registered as a specialist in Staunton, Virginia and active in the NPI registry since August 2015. The organization holds 4 active CLIA laboratory certificates and lists Jane M Lynch, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1023484219
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSHENANDOAH DERMATOLOGY, P.C.
Location Address1600 N COALTER ST, SUITE 19Staunton, VA 24401-2551
Mailing Address1600 N Coalter St, Suite 19Staunton, VA 24401-2551 · (540) 885-4500 · Fax (540) 885-4600
Phone(540) 885-4500
Fax(540) 885-4600
Organization SubpartNo
Authorized OfficialJane M LynchPractice Owner · (540) 885-4500
Enumeration DateAugust 11, 2015
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1023484219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 101228437
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1600 N COALTER ST, Staunton, VA 24401
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Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2231126

Shenandoah Dermatology · Staunton, VA
Active · expires Jul 29, 2027
CLIA Number49D2231126
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorSavannah Hevener
Laboratory Phone(540) 885-4500
Laboratory LocationShenandoah Dermatology1600 N Coalter Street Suite 12, Staunton, VA 24401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2149658

Shenandoah Dermatology · Afton, VA
Active · expires Jun 7, 2028
CLIA Number49D2149658
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorJane M. Lynch
Laboratory Phone(540) 885-4500
Laboratory LocationShenandoah Dermatology10950 Rockfish Valley Highway, Suite C, Afton, VA 22920
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 49D2132483

Shenandoah Dermatology · Raphine, VA
Active · expires Jun 19, 2027
CLIA Number49D2132483
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJane M. Lynch
Laboratory Phone(540) 885-4500
Laboratory LocationShenandoah Dermatology45 Commerce Park Drive, Raphine, VA 24472
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 49D2104729

Shenandoah Dermatology, PC · Staunton, VA
Active · expires Jan 13, 2027
CLIA Number49D2104729
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorArthur K. Balin
Laboratory Phone(540) 886-4500
Laboratory LocationShenandoah Dermatology, PC427 Lee Jackson Highway Suite 101 Att Stephen Vance, Md/Andrew Fitzgerald Histotech, Staunton, VA 24401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 49D2265397

Shenandoah Dermatology · Harrisonburg, VA
Expired · Jul 26, 2026
CLIA Number49D2265397
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorJane Lynch
Laboratory Phone(540) 885-4500
Laboratory LocationShenandoah Dermatology3322 Emmaus Rd, Harrisonburg, VA 22801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2265398

Shenandoah Dermatology · Waynesboro, VA
Expired · Jul 26, 2026
CLIA Number49D2265398
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2024
Certificate Expiration DateJuly 26, 2026
Laboratory DirectorJane Lynch
Laboratory Phone(540) 885-4500
Laboratory LocationShenandoah Dermatology400 South Magnolia Street, Waynesboro, VA 22980
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER MARK MALONE DDS
Dentist (General Practice)
1600 N COALTER ST, STE 304
STAUNTON, VA 24401
Staunton City (540) 885-2000
ROBSON ENTERPRISES, LLC
Rehabilitation Practitioner
1600 N COALTER ST, SUITE 7
STAUNTON, VA 24401
Staunton City (540) 569-3600
DENTAL PROFESSIONALS OF VIRGINIA, P.C
Dentist
1600 N COALTER ST, SUITE 304
STAUNTON, VA 24401
Staunton City (217) 540-5100
VALLEY FAMILY WELLNESS AND CHIROPRACTIC
Clinic/Center (Health Service)
1600 N COALTER ST, SUITE 303A
STAUNTON, VA 24401
Staunton City (540) 885-1735
DR. ANDREW DAVID DODGE DC
Chiropractor
1600 N COALTER ST, SUITE 303A
STAUNTON, VA 24401
Staunton City (540) 885-1735
AMY ELIZABETH RAMSER MD
Dermatology
1600 N COALTER ST
STAUNTON, VA 24401
Staunton City (540) 885-4500
DR. JANE M LYNCH
Dermatology (Dermatopathology)
1600 N COALTER ST, SUITE 19
STAUNTON, VA 24401
Staunton City (540) 885-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shenandoah Dermatology, P.C.'s NPI number?

The NPI number for Shenandoah Dermatology, P.C. is 1023484219. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Shenandoah Dermatology, P.C. located?

Shenandoah Dermatology, P.C. is located at 1600 N Coalter St Suite 19, Staunton, VA 24401. The listed phone number is (540) 885-4500.

What is Shenandoah Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Shenandoah Dermatology, P.C. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shenandoah Dermatology, P.C. was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.