INTEGRATED DERMATOLOGY OF GRANVILLE, LLC – NPI #1609204908
Dermatology

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.

INTEGRATED DERMATOLOGY OF GRANVILLE, LLC is a dermatologist located in GRANVILLE, OH. NPPES has assigned the NPI number 1609204908 to INTEGRATED DERMATOLOGY OF GRANVILLE, LLC on October 23, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 7 years ago on Jan 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTEGRATED DERMATOLOGY OF GRANVILLE, LLC below.

NPI Profile for
INTEGRATED DERMATOLOGY OF GRANVILLE, LLC

NPI Number
1609204908
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTEGRATED DERMATOLOGY OF GRANVILLE, LLC
Primary location
1959 NEWARK GRANVILLE RD
GRANVILLE, OH 43023-9171
Phone: (740) 587-0778 Fax: (740) 587-0601
Mailing address
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone: (561) 314-2000 Fax: (561) 314-2000
Organization Subpart
No
Authorized Official
JEFFREY QUEEN
OWNER
Phone: (561) 314-2000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.