RENEWAL DERMATOLOGY PLLC
NPI 1619263407
Dermatology in Gainesville, VA

Active since June 21, 2011
7512 GARDNER PARK DR, GAINESVILLE, VA 20155(703) 753-9860(703) 753-9863 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renewal Dermatology Pllc NPPES

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

RENEWAL DERMATOLOGY PLLC (NPI 1619263407) is a healthcare organization registered as a dermatology in Gainesville, Virginia and active in the NPI registry since June 2011. The organization lists Joanne Gutliph, President, as its authorized official.

NPPES Registry Identity

NPI1619263407
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRENEWAL DERMATOLOGY PLLC
Location Address7512 GARDNER PARK DRGainesville, VA 20155-3414
Mailing Address7512 Gardner Park DrGainesville, VA 20155-3414 · (703) 753-9860 · Fax (703) 753-9863
Fax(703) 753-9863
Organization SubpartNo
Authorized OfficialJoanne GutliphPresident · (571) 261-2885
Enumeration DateJune 21, 2011
NPI 1619263407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
7512 GARDNER PARK DR, Gainesville, VA 20155

Other Identifiers 1

Medicare PINC10787VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Dermatology (MOHS-Micrographic Surgery)
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Physician Assistant
7512 GARDNER PARK DR
GAINESVILLE, VA 20155
Dermatology
7512 GARDNER PARK DR
GAINESVILLE, VA 20155

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 Renewal Dermatology PLLC's NPI number?

The NPI number for Renewal Dermatology PLLC is 1619263407. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Renewal Dermatology PLLC located?

Renewal Dermatology PLLC is located at 7512 Gardner Park Dr, Gainesville, VA 20155. The listed phone number is (703) 753-9860.

What is Renewal Dermatology 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 Renewal Dermatology PLLC was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.