Total Skin & Beauty Dermatology Center, PC
NPI 1831296888ActiveOrganization· Physician Assistant· Birmingham, AL
Physician Assistant in Birmingham, Alabama, registered in NPPES in September 2006. The authorized official on file is Chandra Belle Rodivich, Credentialing Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831296888 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Jan 22, 2024 |
| Certified by provider | Jan 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Dermatology | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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