SUNRISE DERMATOLOGY
NPI 1538630751
Dermatology in Daphne, AL

Active since December 16, 2018CLIA Certified · 3 labs
8832 US HWY 90, DAPHNE, AL 36526(251) 289-1786 Get Directions Write a Review

NPPES record last updated: February 7, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2019, Dec 16, 2018 (2 updates tracked since 2018).

  • Organization
  • Dermatology
  • CLIA Number: 01D2159481
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-24-2027

About SUNRISE DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Sunrise Dermatology, a provider established in Daphne, Alabama operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1538630751 assigned on December 2018. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 7 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 provider's is doing business as Sunrise Dermatology. The authorized official of this NPI record is Sarah Wierszalowski (Administrator)

NPI
1538630751 Verify this NPI
Provider Legal Name
SUNRISE DERMATOLOGY LLC
Other Organization Name
SUNRISE DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8832 US HWY 90 DAPHNE, AL 36526
Location Phone
(251) 289-1786
Mailing Address
70 MIDTOWN PARK E MOBILE, AL 36606
Mailing Phone
(251) 544-6407
Mailing Fax
(251) 544-6411
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2018
Last Update Date
02-07-2019
Code Navigator

A dermatologist like Sunrise Dermatology 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

SARAH WIERSZALOWSKI

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(251) 544-6407

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2159481
Facility Type
Physician Office
Certificate Effective Date
September 25, 2025
Certificate Expiration Date
September 24, 2027
Laboratory Director
DR. SCOTT R. FREEMAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Sunrise Dermatology after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for SUNRISE DERMATOLOGY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
8832 US HWY 90
DAPHNE, AL 36526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538630751, enumerated as an "organization" on December 16, 2018.

The provider is located at 8832 US HWY 90 DAPHNE, AL 36526 and the phone number is (251) 289-1786.

Dermatology with taxonomy code 207N00000X.