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PETERSBURG DERMATOLOGY, PC
NPI 1740435650
Clinic/Center - Medical Specialty in Petersburg, VA

Active since November 19, 2008
3277 S CRATER RD, PETERSBURG, VA 23805(804) 861-5555(804) 861-5500 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Petersburg Dermatology, Pc NPPES

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

PETERSBURG DERMATOLOGY, PC (NPI 1740435650) is a healthcare organization registered as a medical specialty in Petersburg, Virginia and active in the NPI registry since November 2008. The organization lists Erick Jean Freihofer, President, as its authorized official.

NPPES Registry Identity

NPI1740435650
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePETERSBURG DERMATOLOGY, PC
Location Address3277 S CRATER RDPetersburg, VA 23805-9285
Mailing Address3277 S Crater RdPetersburg, VA 23805-9285 · (804) 861-5555 · Fax (804) 861-5500
Phone(804) 861-5555
Fax(804) 861-5500
Organization SubpartNo
Authorized OfficialErick Jean FreihoferPresident · (804) 861-5555
Enumeration DateNovember 19, 2008
✔ NPI 1740435650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in VA · 0101052210
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3277 S CRATER RD, Petersburg, VA 23805
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Other Identifiers 3

Medicaid005900972VA
Medicare UPING11418
Medicare PIN070000260VA

Other Providers at the Same Location NPPES 3

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

DR. MARK PHILLIP GERALD D.D.S.
Dentist (General Practice)
3277 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 732-5776
DR. JOHN SIMPSON REYNOLDS DDS
Dentist
3277 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 732-5776
SOUTHSIDE DENTAL ASSOCIATES PC
Clinic/Center (Dental)
3277 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 732-5776

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 Petersburg Dermatology, PC's NPI number?

The NPI number for Petersburg Dermatology, PC is 1740435650. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Petersburg Dermatology, PC located?

Petersburg Dermatology, PC is located at 3277 S Crater Rd, Petersburg, VA 23805. The listed phone number is (804) 861-5555.

What is Petersburg Dermatology, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Petersburg Dermatology, PC was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.