901 SKINMD PLLC
NPI 1346719085
Dermatology in Cordova, TN

Active since November 23, 2018
751 WALNUT KNOLL LANE, SUITE 2, CORDOVA, TN 38018(781) 467-8632 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Feb 27, 2020, Nov 23, 2018 (3 updates tracked since 2018).

About 901 Skinmd Pllc NPPES

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

901 SKINMD PLLC (NPI 1346719085) is a healthcare organization registered as a dermatology in Cordova, Tennessee and active in the NPI registry since November 2018. The organization lists Radoslaw Bieniek, Physician, as its authorized official.

NPPES Registry Identity

NPI1346719085
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business Name901 SKINMD PLLC
Location Address751 WALNUT KNOLL LANE, SUITE 2Cordova, TN 38018-6301
Mailing Address10020 Iberville CvLakeland, TN 38002-7804 · (781) 467-8632
Organization SubpartNo
Authorized OfficialRadoslaw BieniekPhysician · (781) 467-8632
Enumeration DateNovember 23, 2018
Last NPPES UpdateMay 18, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1346719085 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.
751 WALNUT KNOLL LANE, Cordova, TN 38018

Other Identifiers 1

Other1083853006Nppes

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

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 901 Skinmd PLLC's NPI number?

The NPI number for 901 Skinmd PLLC is 1346719085. It was assigned to this organization in the NPPES registry on November 23, 2018.

Where is 901 Skinmd PLLC located?

901 Skinmd PLLC is located at 751 Walnut Knoll Lane Suite 2, Cordova, TN 38018. The listed phone number is (781) 467-8632.

What is 901 Skinmd PLLC'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 901 Skinmd PLLC was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.