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BAY SHORE DERMATOLOGY & LASER SURGERY CENTER, PC
NPI 1316011398
Dermatology in Fairhope, AL

Active since November 20, 2006CLIA 01D0888131 · Certificate of Compliance
7550 ASSUNTA CT, FAIRHOPE, AL 36532(251) 928-4944(251) 928-2086 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Bay Shore Dermatology & Laser Surgery Center, Pc NPPES

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

BAY SHORE DERMATOLOGY & LASER SURGERY CENTER, PC (NPI 1316011398) is a healthcare organization registered as a dermatology in Fairhope, Alabama and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 12, 2026 and lists Robert Clark, President, as its authorized official.

NPPES Registry Identity

NPI1316011398
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBAY SHORE DERMATOLOGY, PC
Location Address7550 ASSUNTA CTFairhope, AL 36532-3069
Mailing Address7550 Assunta CtFairhope, AL 36532-3069 · (251) 928-4944 · Fax (251) 928-2086
Phone(251) 928-4944
Fax(251) 928-2086
Organization SubpartNo
Authorized OfficialRobert ClarkPresident · (251) 928-4944
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 26, 20232 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1316011398 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.
7550 ASSUNTA CT, Fairhope, AL 36532
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Other Names 1

Doing Business AsBay Shore Dermatology & Laser Surgery Center, Pc

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

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 01D0888131

Bay Shore Dermatology · Fairhope, AL
Active · expires Dec 12, 2026
CLIA Number01D0888131
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorBrian Cheshire
Laboratory Phone(251) 928-4944
Laboratory LocationBay Shore Dermatology7550 Assunta Ct, Fairhope, AL 36532
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.

Other Providers at the Same Location NPPES 4

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

DR. BRIAN DOUGLAS CHESHIRE M.D.
Dermatology
7550 ASSUNTA CT
FAIRHOPE, AL 36532
Baldwin County (251) 928-4944
DR. ROBERT ALAN CLARK M.D.
Dermatology
7550 ASSUNTA CT
FAIRHOPE, AL 36532
Baldwin County (251) 928-4944
MARK C. BROWN P.A.
Physician Assistant (Medical)
7550 ASSUNTA CT
FAIRHOPE, AL 36532
Baldwin County (251) 928-4944
MRS. TIA L JANICKI PA-C
Physician Assistant
7550 ASSUNTA CT
FAIRHOPE, AL 36532
Baldwin County (251) 928-4944

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 Bay Shore Dermatology, PC's NPI number?

The NPI number for Bay Shore Dermatology, PC is 1316011398. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Bay Shore Dermatology & Laser Surgery Center, PC.

Where is Bay Shore Dermatology, PC located?

Bay Shore Dermatology, PC is located at 7550 Assunta Ct, Fairhope, AL 36532. The listed phone number is (251) 928-4944.

What is Bay Shore Dermatology, PC's specialty?

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

Does Bay Shore Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0888131) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bay Shore Dermatology, PC was last updated on October 26, 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.