The Dermatology Clinic, Pllc, NPI 1720284946
Dermatology Physician in Gulfport, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1720284946 |
| NPI Entity Type | Organization |
| Provider Name | The Dermatology Clinic, Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 11295 East Taylor Road, Gulfport, MS, US |
| Provider Mailing Address | P.o. Box 6625, Gulfport, MS, US, 395066625 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Angela B Wingfield |
| Official Position | OWNER/PHYSICIAN |
| Phone | 228-864-3300 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Dermatology Physician |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 17831 | TX | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 25D1013637 | CLIA | 01 | |
| 06375287 | MS | MEDICAID | 05 |
| 00874879 | MS | MEDICAID | 05 |
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