Derm One, PLLC
NPI 1053493288ActiveOrganization· Dermatology· Bluefield, VA
Dermatology in Bluefield, Virginia, registered in NPPES in October 2006. The authorized official on file is David L. Tolliver, D.O., Physician. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053493288 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Jan 21, 2013 |
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 (VA); Part B Supplier - Clinic/Group Practice (WV) |
|---|
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