DERM HAVEN INC
NPI 1164164141
Dermatology in St George, UT

Active since April 11, 2022
352 E RIVERSIDE DR STE A3, ST GEORGE, UT 84790(435) 695-8585(435) 900-1015 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2022, Apr 11, 2022 (2 updates tracked since 2022).

  • Organization
  • Dermatology

About DERM HAVEN INC

This page provides the complete NPI Profile along with additional information for Derm Haven Inc, a provider established in St George, Utah operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1164164141 assigned on April 2022. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tina Moussally Pa-c (Owner)

NPI
1164164141 Verify this NPI
Provider Name
DERM HAVEN INC
Entity Type
Organization
Location Address
352 E RIVERSIDE DR STE A3 ST GEORGE, UT 84790
Location Phone
(435) 695-8585
Location Fax
(435) 900-1015
Mailing Address
782 S RIVER RD STE 101 ST GEORGE, UT 84790
Mailing Phone
(435) 695-8585
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2022
Last Update Date
05-19-2022
Code Navigator

A dermatologist like Derm Haven Inc 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.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TINA MOUSSALLY PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(435) 695-8585

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164164141, enumerated as an "organization" on April 11, 2022.

The provider is located at 352 E RIVERSIDE DR STE A3 ST GEORGE, UT 84790 and the phone number is (435) 695-8585.

Dermatology with taxonomy code 207N00000X.