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JASPER DERMATOLOGY, LLC
NPI 1801622642
Dermatology in Jasper, AL

Active since September 09, 2024
87 19TH ST W STE 200, JASPER, AL 35501(205) 282-1802 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasper Dermatology, Llc NPPES

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

JASPER DERMATOLOGY, LLC (NPI 1801622642), doing business as Jasper Dermatology At Rastore, is a healthcare organization registered as a dermatology in Jasper, Alabama and active in the NPI registry since September 2024. The organization lists Dana Mccullar, Crnp/owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1801622642
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJASPER DERMATOLOGY, LLC
Location Address87 19TH ST W STE 200Jasper, AL 35501-5430
Mailing AddressPo Box 290Jasper, AL 35502-0290 · (205) 282-1802
Phone(205) 282-1802
Organization SubpartNo
Authorized OfficialDana MccullarCrnp/owner/ceo · (205) 282-1802
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1801622642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
87 19TH ST W STE 200, Jasper, AL 35501
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Other Names 1

Doing Business AsJasper Dermatology At Rastore

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DANA MCCULLAR CRNP
Nurse Practitioner
87 19TH ST W STE 200
JASPER, AL 35501
Walker County (205) 705-3100

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 Jasper Dermatology, LLC's NPI number?

The NPI number for Jasper Dermatology, LLC is 1801622642. It was assigned to this organization in the NPPES registry on September 9, 2024. The provider is doing business as Jasper Dermatology at Rastore.

Where is Jasper Dermatology, LLC located?

Jasper Dermatology, LLC is located at 87 19th St W Ste 200, Jasper, AL 35501. The listed phone number is (205) 282-1802.

What is Jasper Dermatology, LLC'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 Jasper Dermatology, LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.