ANDOVER DERMATOLOGY, PC
NPI 1629293485
Dermatology in Andover, MA
NPI Status: Active since April 16, 2007
Contact Information
138 HAVERHILL ST
SUITE 200
ANDOVER, MA
ZIP 01810
Phone: (978) 475-4322
Fax: (978) 474-4537
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 22D2063392
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2025
About ANDOVER DERMATOLOGY, PC
This page provides the complete NPI Profile along with additional information for Andover Dermatology, Pc, a provider established in Andover, Massachusetts operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1629293485 assigned on April 2007. 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 speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Christine H Andersen Md (President)
- NPI
- 1629293485
- Provider Name
- ANDOVER DERMATOLOGY, PC
- Entity Type
- Organization
- Location Address
- 138 HAVERHILL ST SUITE 200 ANDOVER, MA 01810
- Location Phone
- (978) 475-4322
- Location Fax
- (978) 474-4537
- Mailing Address
- 138 HAVERHILL ST SUITE 200 ANDOVER, MA 01810
- Mailing Phone
- (978) 475-4322
- Mailing Fax
- (978) 474-4537
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2007
- Last Update Date
- 07-09-2018
- Code Navigator
A dermatologist like Andover Dermatology, Pc 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 22D2063392
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2023
- Certificate Expiration Date
- July 31, 2025
- Laboratory Director
- CHRISTINE H. ANDERSEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Andover Dermatology, Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 2 | 9 | 3 | 4 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 4 | 9 | 6 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 4 + 9 + 6 + 4 + 1 + 6 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1629293485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
DR. MARK BARRY ABELSON M.D.
Ophthalmology
138 HAVERHILL ST
STE 104
ANDOVER, MA
ZIP 01810
DR. GAIL L TORKILDSEN M.D.
Ophthalmology
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
MR. ROBERT F KELLY JR. CRNA
Nurse Anesthetist, Certified Registered
138 HAVERHILL ST
ANDOVER, MA
ZIP 01810
CHRISTINE H ANDERSEN MD
Dermatology
138 HAVERHILL ST
SUITE 200
ANDOVER, MA
ZIP 01810
MR. DAVID M GRUBER MD
Dermatology
138 HAVERHILL ST
SUITE 200
ANDOVER, MA
ZIP 01810
ANDOVER EYE ASSOCIATES, INC
Ophthalmology
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
MICHAEL J TERLIZZI MD
Dermatology
138 HAVERHILL ST
SUITE 200
ANDOVER, MA
ZIP 01810
PHYLLIS N SPIELER MD
Internal Medicine
(Rheumatology)
138 HAVERHILL ST
SUITE 102
ANDOVER, MA
ZIP 01810
RICHARD A CAMPBELL CRNA
Nurse Anesthetist, Certified Registered
138 HAVERHILL ST
ANDOVER, MA
ZIP 01810
CHARLES CROSBY DBA OPTICAL DEPARTMENT
Eyewear Supplier
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
PHYLLIS SPIELER MD
Internal Medicine
(Rheumatology)
138 HAVERHILL ST
SUITE 102
ANDOVER, MA
ZIP 01810
ANDOVER EYE ASSOCIATES, INC
Ophthalmology
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
PAUL N LEMAITRE M.D.
Internal Medicine
138 HAVERHILL ST
SUITE 203
ANDOVER, MA
ZIP 01810
ANDOVER SURGERY CENTER, LP
Clinic/Center
(Ambulatory Surgical)
138 HAVERHILL ST
ANDOVER, MA
ZIP 01810
MARK B. ABELSON, M.D., P.C.
Optometrist
138 HAVERHILL ST
SUITE 104
ANDOVER, MA
ZIP 01810
ANESTHETIC SOLUTIONS PC
Anesthesiology
138 HAVERHILL ST
ANDOVER, MA
ZIP 01810
DR. MAHMOUD AL MASRY M.D
Psychiatry & Neurology
(Pain Medicine)
138 HAVERHILL ST
ANDOVER, MA
ZIP 01810
GRACE WONJA KIM M.D.
Family Medicine
138 HAVERHILL ST
DOCTORS' PARK II
ANDOVER, MA
ZIP 01810
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629293485, enumerated as an "organization" on April 16, 2007.
The provider is located at 138 HAVERHILL ST SUITE 200 ANDOVER, MA 01810 and the phone number is (978) 475-4322.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
