Mid Atlantic Dermatology
NPI 1073605333ActiveOrganization· Dermatology· Chesapeake, VA
Dermatology in Chesapeake, Virginia, registered in NPPES in September 2006. The authorized official on file is Rose Ann Waller, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073605333 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Jul 9, 2008 |
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) |
|---|
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