OPTIMA DERMATOLOGY LLC – NPI #1831187764
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.

OPTIMA DERMATOLOGY LLC is a dermatologist located in BOARDMAN, OH. NPPES has assigned the NPI number 1831187764 to OPTIMA DERMATOLOGY LLC on October 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC. According to the NPI Registry, there are 20 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jul 01, 2024. 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 OPTIMA DERMATOLOGY LLC below.

NPI Profile for
OPTIMA DERMATOLOGY LLC

NPI Number
1831187764
Enumeration Date

(more than 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
OPTIMA DERMATOLOGY LLC
Former Legal Business Name: ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC
Primary location
987 BOARDMAN CANFIELD RD
BOARDMAN, OH 44512-4222
Phone: (330) 965-8760 Fax: (330) 965-9325
20 Other location(s):
1010 W 2nd St
Bloomington, IN 47403-2217
Phone: (812) 200-2458
Fax: (930) 200-8590
2800 S State Road 135 Ste 250
Greenwood, IN 46143-6223
Phone: (317) 300-1788
Fax: (317) 743-8103
1100 Southfield Dr Ste 1240
Plainfield, IN 46168-4499
Phone: (317) 838-9911
Fax: (317) 837-6080
824 Edwards Dr
Plainfield, IN 46168-2791
Phone: (317) 406-3254
Fax: (317) 406-3259
6639 Whitestown Pkwy
Zionsville, IN 46077-7622
Phone: (317) 732-8980
Fax: (317) 732-8979
29 Sebago Rd
Raymond, ME 04071-6823
Phone: (207) 838-9073
Fax: (207) 203-4875
71 US Route 1 Ste J
Scarborough, ME 04074-7168
Phone: (207) 464-2712
1 Hampton Rd Unit A306
Exeter, NH 03833-4848
Phone: (603) 942-2171
Fax: (603) 371-3104
111 New Hampshire Ave Ste 3
Portsmouth, NH 03801-2864
Phone: (603) 988-0951
215 Commerce Way Ste 100
Portsmouth, NH 03801-3244
Phone: (603) 441-1075
Fax: (603) 294-1090
31 Stiles Rd Ste 2100
Salem, NH 03079-3035
Phone: (603) 942-2020
Fax: (603) 288-1722
1027 Boardman Canfield Rd
Boardman, OH 44512-4227
Phone: (330) 965-8760
Fax: (330) 965-9325
1039 Boardman Canfield Rd
Boardman, OH 44512-4228
Phone: (330) 271-8589
Fax: (330) 965-9325
8183 Golden Link Blvd
Macedonia, OH 44067
Phone: (330) 778-1278
911 E Aurora Rd
Macedonia, OH 44056-1905
Phone: (330) 306-9844
Fax: (330) 525-9009
7676 Reynolds Rd
Mentor, OH 44060-5110
Phone: (440) 283-3015
Fax: (440) 283-3010
5817 Happy Hollow Rd
Milford, OH 45150-1848
Phone: (513) 327-9244
Fax: (513) 323-5201
2525 E State St
Salem, OH 44460-9303
Phone: (330) 271-8614
Fax: (330) 525-9008
2223 Niles Cortland Rd SE
Warren, OH 44484-3043
Phone: (330) 965-8760
Fax: (330) 469-9706
321 Niles Cortland Rd NE # Uniteb
Warren, OH 44484-1974
Phone: (330) 800-5963
Fax: (330) 469-9706
Mailing address
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH, NH 03801-2864
Phone: (802) 909-2053 Fax: (330) 965-9325
Organization Subpart
No
Authorized Official
JOHN BERNAT
AUTHORIZED OFFICIAL
Phone: (330) 965-8760
Updated
Certification Date
Jul 01, 2024

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.

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.

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.