ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1023308715
Dermatology in New Port Richey, FL

NPI Status: Active since April 14, 2011

Contact Information

2114 SEVEN SPRINGS BLVD
SUITE 250
NEW PORT RICHEY, FL
ZIP 34655
Phone: (888) 540-9660
Fax: (407) 875-0518

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  • Organization
  • Dermatology
  • CLIA Number: 10D1019907
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-21-2027

About ADVANCED DERMATOLOGY AND COSMETIC SURGERY

This page provides the complete NPI Profile along with additional information for Advanced Dermatology And Cosmetic Surgery, a provider established in New Port Richey, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1023308715 assigned on April 2011. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Advanced Dermatology And Cosmetic Surgery operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Advanced Dermatology And Cosmetic Surgery. The authorized official of this NPI record is Nefrita Logan (Provider Service Rep)

NPI
1023308715
Provider Legal Name
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Other Organization Name
ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2114 SEVEN SPRINGS BLVD SUITE 250 NEW PORT RICHEY, FL 34655
Location Phone
(888) 540-9660
Location Fax
(407) 875-0518
Mailing Address
2600 LAKE LUCIEN DR SUITE 180 MAITLAND, FL 32751
Mailing Phone
(407) 875-2080
Mailing Fax
(407) 875-0518
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-14-2011
Last Update Date
04-14-2011
Code Navigator

A dermatologist like Advanced Dermatology And Cosmetic Surgery is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
22086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NEFRITA LOGAN

Authorized Official Title
PROVIDER SERVICE REP
Authorized Official Phone
(407) 875-2080

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
98046HMEDICARE PIN (08)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1019907
Facility Type
Physician Office
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
DR. ALEXANDER DANE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Advanced Dermatology And Cosmetic Surgery on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ADVANCED DERMATOLOGY AND COSMETIC SURGERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023308715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043601672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 6 + 0 + 1 + 6 + 7 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1023308715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386956274DOROTHY T CHRISTMAN MD PL
Organization
Clinic/Center (Primary Care)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(727) 375-2719
1477544351MS. VIVA NANETTE CASLER ARNP
Individual
Nurse Practitioner (Family)2114 SEVEN SPRINGS BLVD PREMIER COMMUNITY HEALTHGROUP
NEW PORT RICHEY, FL 34655
(352) 518-2000
1518018878 KAMLESH N BAJPAI DO
Individual
Family Medicine2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(352) 518-2000
1801871488DR. JENNIFER SWARINGEN M.D.
Individual
Orthopaedic Surgery (Sports Medicine)2114 SEVEN SPRINGS BLVD SUITE 250
NEW PORT RICHEY, FL 34655
(727) 547-4700
1093344418 TERESA CHRISTMAS PHYSICIAN ASSISTANT
Individual
Physician Assistant (Medical)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(727) 645-4185
1760680870PRITESH & TARAK P A
Organization
Specialist2114 SEVEN SPRINGS BLVD SUITE 100
NEW PORT RICHEY, FL 34655
(813) 909-1146
1255819900 JOSHUA DREW BARNES APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(352) 518-2000
1699833947DR. WAYNE MICHAEL BAKER D.D.S.
Individual
Dentist (General Practice)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(352) 518-2000
1578287488 LILIBEL A BERNHARDT MS, COTA/L
Individual
Occupational Therapy Assistant2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(813) 482-2991
1669196671 DONELLE R SINNOTT
Individual
Specialist/Technologist (Speech-Language Assistant)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(727) 279-5371
1548985336 MICHELLE LEE PECORA
Individual
Occupational Therapy Assistant2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(727) 279-5371
1588669923 LENORE CAPPELLUTI MSN,RN,APN-C
Individual
Nurse Practitioner (Obstetrics & Gynecology)2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(201) 306-7398
1194222455 ELIZABETH O KOLAWOLE MD
Individual
Family Medicine2114 SEVEN SPRINGS BLVD
TRINITY, FL 34655
(352) 518-2000
1831808278MIRANDA DABNEY INC
Organization
Assistant Behavior Analyst2114 SEVEN SPRINGS BLVD
NEW PORT RICHEY, FL 34655
(813) 506-4958

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023308715, enumerated in the NPI registry as an "organization" on April 14, 2011

The provider is located at 2114 Seven Springs Blvd Suite 250 New Port Richey, Fl 34655 and the phone number is (888) 540-9660

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D1019907 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on April 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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