Lakeway Dermatology Associates, PC
NPI 1114123056ActiveOrganization· Dermatology· Morristown, TN
Dermatology in Morristown, Tennessee, registered in NPPES in June 2007. The authorized official on file is Conrad L. Brimhall, MD, Vp.
Overview
| NPI | 1114123056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2007 |
| Last updated in NPPES | Feb 26, 2024 |
| Certified by provider | Feb 26, 2024 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Morristown
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