Essex Dermatology LLC
NPI 1043378508ActiveOrganization· Dermatology· Essex, CT
Dermatology in Essex, Connecticut, registered in NPPES in December 2006. The authorized official on file is Virginia L. Maher Wiese, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043378508 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Nov 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
Other Dermatology providers in Essex
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