MID ATLANTIC DERMATOLOGY
NPI 1073605333
Dermatology in Chesapeake, VA

Active since September 28, 2006
109 WIMBLEDON SQ, SUITE E, CHESAPEAKE, VA 23320(757) 547-9830(757) 548-0721 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mid Atlantic Dermatology NPPES

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

MID ATLANTIC DERMATOLOGY (NPI 1073605333) is a healthcare organization registered as a dermatology in Chesapeake, Virginia and active in the NPI registry since September 2006. The organization lists Rose Ann Waller, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1073605333
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMID ATLANTIC DERMATOLOGY
Location Address109 WIMBLEDON SQ, SUITE EChesapeake, VA 23320-4945
Mailing Address109 Wimbledon Sq, Suite EChesapeake, VA 23320-4945 · (757) 547-9830 · Fax (757) 548-0721
Fax(757) 548-0721
Organization SubpartNo
Authorized OfficialRose Ann WallerBilling Manager · (757) 547-9830
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 9, 2008
NPI 1073605333 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.

109 WIMBLEDON SQ, Chesapeake, VA 23320

Other Identifiers 1

Medicare ID-Type UnspecifiedC06097VA · Group Number

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

Other Providers at the Same Location NPPES 15

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

Ophthalmology
109 WIMBLEDON SQ, SUITE E
CHESAPEAKE, VA 23320
Physician Assistant
109 WIMBLEDON SQ, SUITE G1
CHESAPEAKE, VA 23320
Physician Assistant
109 WIMBLEDON SQ, SUITE E
CHESAPEAKE, VA 23320
Physician Assistant (Medical)
109 WIMBLEDON SQ, STE. E
CHESAPEAKE, VA 23320
Ophthalmology
109 WIMBLEDON SQ, STE E
CHESAPEAKE, VA 23320
Nurse Practitioner
109 WIMBLEDON SQ, SUITE E
CHESAPEAKE, VA 23320
Clinic/Center (Methadone)
109 WIMBLEDON SQ, UNIT H
CHESAPEAKE, VA 23320
Obstetrics & Gynecology (Gynecologic Oncology)
109 WIMBLEDON SQ, SUITE F
CHESAPEAKE, VA 23320

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 Mid Atlantic Dermatology's NPI number?

The NPI number for Mid Atlantic Dermatology is 1073605333. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Mid Atlantic Dermatology located?

Mid Atlantic Dermatology is located at 109 Wimbledon Sq Suite E, Chesapeake, VA 23320. The listed phone number is (757) 547-9830.

What is Mid Atlantic Dermatology's specialty?

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

When was this NPI record last updated?

The NPPES record for Mid Atlantic Dermatology was last updated on July 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.