DERM ONE, PLLC
NPI 1053493288
Dermatology in Bluefield, VA

Q: What is Derm One, PLLC's NPI number?

The NPI number for Derm One, PLLC is 1053493288. It was assigned to this organization in the NPPES registry on October 19, 2006.

Q: What is Derm One, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Derm One, PLLC was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 19, 2006CLIA Certified · 3 labs

725 S COLLEGE AVE, BLUEFIELD, VA 24605(276) 326-3376(276) 326-3046 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Derm One, Pllc NPPES

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

DERM ONE, PLLC (NPI 1053493288) is a healthcare organization registered as a dermatology in Bluefield, Virginia and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists David L Tolliver, Physician, as its authorized official.

NPPES Registry Identity

NPI1053493288

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERM ONE, PLLC

Location Address725 S COLLEGE AVEBluefield, VA 24605-1640

Mailing Address725 S College AveBluefield, VA 24605-1640 · (276) 326-3376 · Fax (276) 326-3046

Phone(276) 326-3376

Fax(276) 326-3046

Organization SubpartNo

Authorized OfficialDavid L TolliverPhysician · (276) 326-3376

Enumeration DateOctober 19, 2006

Last NPPES UpdateJanuary 21, 2013

✔ NPI 1053493288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

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.

725 S COLLEGE AVE, Bluefield, VA 24605

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Other Identifiers 1

Medicare ID-Type UnspecifiedC09028VA · Medicare Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derm One, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Derm One, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.