INTEGRATED DERMATOLOGY OF TIDEWATER LLC
NPI 1801238472
Dermatology in Norfolk, VA
- Organization
- Dermatology
- CLIA Number: 49D2304800
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-19-2026
About INTEGRATED DERMATOLOGY OF TIDEWATER LLC
This page provides the complete NPI Profile along with additional information for Integrated Dermatology Of Tidewater Llc, a provider established in Norfolk, Virginia operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1801238472 assigned on July 2013. 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 authorized official of this NPI record is Mr. Jeffrey D Queen (Owner)
- NPI
- 1801238472 Verify this NPI
- Provider Name
- INTEGRATED DERMATOLOGY OF TIDEWATER LLC
- Entity Type
- Organization
- Location Address
- 885 KEMPSVILLE RD STE 309 NORFOLK, VA 23502
- Location Phone
- (757) 461-1033
- Mailing Address
- 4700 EXCHANGE CT STE 110 BOCA RATON, FL 33431
- Mailing Phone
- (561) 314-2000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2013
- Last Update Date
- 01-29-2019
- Code Navigator
A dermatologist like Integrated Dermatology Of Tidewater Llc 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.
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
- 49D2304800
- Facility Type
- Physician Office
- Certificate Effective Date
- May 20, 2024
- Certificate Expiration Date
- May 19, 2026
- Laboratory Director
- JONATHAN SCHREIBER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Integrated Dermatology Of Tidewater Llc 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.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801238472, enumerated as an "organization" on July 24, 2013.
The provider is located at 885 KEMPSVILLE RD STE 309 NORFOLK, VA 23502 and the phone number is (757) 461-1033.
Dermatology with taxonomy code 207N00000X.
