LAKESIDE DERMATOLOGY , PA
NPI 1619973054
Dermatology in Cornelius, NC
NPI Status: Active since June 21, 2005
Contact Information
19900 W CATAWBA AVE
SUITE B
CORNELIUS, NC
ZIP 28031
Phone: (704) 892-4878
Fax: (704) 892-7453
- Organization
- Dermatology
About LAKESIDE DERMATOLOGY , PA
This page provides the complete NPI Profile along with additional information for Lakeside Dermatology , Pa, a provider established in Cornelius, North Carolina operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1619973054 assigned on June 2005. The practitioner's primary taxonomy code is 207N00000X with license number 9400198 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. Lakeside Dermatology , Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Nancy J Astle Md (President/physician)
- NPI
- 1619973054
- Provider Name
- LAKESIDE DERMATOLOGY , PA
- Entity Type
- Organization
- Location Address
- 19900 W CATAWBA AVE SUITE B CORNELIUS, NC 28031
- Location Phone
- (704) 892-4878
- Location Fax
- (704) 892-7453
- Mailing Address
- 19900 W CATAWBA AVE STE B CORNELIUS, NC 28031
- Mailing Phone
- (704) 892-4878
- Mailing Fax
- (704) 892-7453
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 03-23-2011
- Code Navigator
A dermatologist like Lakeside Dermatology , Pa 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
- License No.
- 9400198
- License State
- NC
- 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.
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.
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.
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 |
|---|---|---|---|
| CA0767 | OTHER (01) | RAILROAD MEDICARE | |
| E82914 | OTHER (01) | UPIN | |
| 01056 | OTHER (01) | NC | BCBS |
| E38564 | MEDICARE UPIN (02) | ||
| 2316408 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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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. | |||||||||
| 1 | 6 | 1 | 9 | 9 | 7 | 3 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 18 | 7 | 6 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 8 + 7 + 6 + 0 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1619973054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760477210 | DR. KIRKWOOD TANNER SHULTZ MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 19900 W CATAWBA AVE SUITE C CORNELIUS, NC 28031 (800) 277-8151 |
| 1104882752 | DIABETIC SPECIAL CARE Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 19900 W CATAWBA AVE CORNELIUS, NC 28031 (704) 895-8478 |
| 1629355268 | FRIEDMAN EYE CARE OD PLLC Organization | Optometrist | 19900 W CATAWBA AVE CORNELIUS, NC 28031 (704) 892-8282 |
| 1497745871 | STEVEN DAVID FRIEDMAN OD Individual | Optometrist | 19900 W CATAWBA AVE CORNELIUS, NC 28031 (704) 892-8282 |
| 1952841736 | MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC Organization | Optometrist | 19900 W CATAWBA AVE CORNELIUS, NC 28031 (704) 892-8282 |
| 1942905963 | MELISA KALAC OD Individual | Optometrist | 19900 W CATAWBA AVE CORNELIUS, NC 28031 (704) 892-8282 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619973054, enumerated in the NPI registry as an "organization" on June 21, 2005
The provider is located at 19900 W Catawba Ave Suite B Cornelius, Nc 28031 and the phone number is (704) 892-4878
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 21, 2005. 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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