PARK AVENUE DERMATOLOGY PA
NPI 1205871001
Dermatology in Orange Park, FL

Active since June 17, 2006CLIA Certified · 2 labs
906 PARK AVE, ORANGE PARK, FL 32073(904) 541-0315(904) 541-0316 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Park Avenue Dermatology Pa NPPES

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

PARK AVENUE DERMATOLOGY PA (NPI 1205871001) is a healthcare organization registered as a dermatology in Orange Park, Florida and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists George J Schmieder, President, as its authorized official.

NPPES Registry Identity

NPI1205871001
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePARK AVENUE DERMATOLOGY PA
Location Address906 PARK AVEOrange Park, FL 32073-4120
Mailing Address906 Park AveOrange Park, FL 32073-4120 · (904) 541-0315 · Fax (904) 541-0316
Fax(904) 541-0316
Organization SubpartNo
Authorized OfficialGeorge J SchmiederPresident · (904) 541-0315
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
NPI 1205871001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · OS 4926
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License OS 4926 (FL)
906 PARK AVE, Orange Park, FL 32073

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 10D1029474

Park Avenue Dermatology PA · Orange Park, FL
Active · expires Sep 19, 2026
CLIA Number10D1029474
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorDr. George J. Schmieder
Laboratory Phone(904) 541-0315
Laboratory LocationPark Avenue Dermatology PA906 Park Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
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 Compliance 10D2101438

Park Avenue Dermatology North · Jacksonville, FL
Active · expires Sep 28, 2027
CLIA Number10D2101438
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorGeorge J. Schmieder
Laboratory Phone(904) 541-0315
Laboratory LocationPark Avenue Dermatology North15255 Max Leggett Pkwy Ste 5100, Jacksonville, FL 32218
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 10

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

Physician Assistant
906 PARK AVE
ORANGE PARK, FL 32073
Physician Assistant
906 PARK AVE
ORANGE PARK, FL 32073
Physician Assistant
906 PARK AVE
ORANGE PARK, FL 32073
Physician Assistant
906 PARK AVE
ORANGE PARK, FL 32073
Physician Assistant
906 PARK AVE
ORANGE PARK, FL 32073
Nurse Practitioner
906 PARK AVE
ORANGE PARK, FL 32073
Dermatology
906 PARK AVE
ORANGE PARK, FL 32073
Dermatology
906 PARK AVE
ORANGE PARK, FL 32073

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 Park Avenue Dermatology PA's NPI number?

The NPI number for Park Avenue Dermatology PA is 1205871001. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Park Avenue Dermatology PA located?

Park Avenue Dermatology PA is located at 906 Park Ave, Orange Park, FL 32073. The listed phone number is (904) 541-0315.

What is Park Avenue Dermatology PA's specialty?

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

Does Park Avenue Dermatology PA hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Park Avenue Dermatology PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Park Avenue Dermatology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Park Avenue Dermatology PA was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.