ADVANCED DERMATOLOGY OF OHIO, INC – NPI #1760491401
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.

ADVANCED DERMATOLOGY OF OHIO, INC is a dermatologist located in MASON, OH. NPPES has assigned the NPI number 1760491401 to ADVANCED DERMATOLOGY OF OHIO, INC on August 05, 2006. 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 3 years ago on Oct 25, 2023. 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 ADVANCED DERMATOLOGY OF OHIO, INC below.

NPI Profile for
ADVANCED DERMATOLOGY OF OHIO, INC

NPI Number
1760491401
Enumeration Date

(about 20 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
ADVANCED DERMATOLOGY OF OHIO, INC
Primary location
4834 SOCIALVILLE FOSTER RD STE 20
MASON, OH 45040-6827
Phone: (513) 459-1988 Fax:
1 Other location(s):
2361 Lakeview Dr Unit 2361
Beavercreek, OH 45431-3695
Phone: (937) 306-0200
Mailing address
151 SOUTHHALL LN
STE 300
MAITLAND, FL 32751-7176
Phone: (407) 875-2080 Fax: (407) 650-3455
Organization Subpart
No
Authorized Official
AMY DECLUE
DIRECTOR, PROVIDER SERVICES
Phone: (407) 875-2080
Updated
Certification Date
Oct 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED DERMATOLOGY OF OHIO, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2531406
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.