DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC – NPI #1205104601
Dermatology
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC is a dermatologist located in MEDINA, OH. NPPES has assigned the NPI number 1205104601 to DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC on December 13, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery
The NPI profile was previously updated about 14 years ago on Feb 27, 2012. 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 DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC below.
NPI Profile for
DERMATOLOGIC SURGERY CENTER OF NORTHEAST OHIO INC
(more than 14 years ago)
SUITE 100
MEDINA, OH 44256-0000 Phone: (330) 238-4350 Fax: (330) 239-4584
PRESIDENT
Phone: (330) 239-4350
Identifiers for DERMATOLOGIC SURGERY CENTER OF NORTHEAST 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | OH | 2190785 |
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 |
|---|---|---|
| 207ND0101X - Dermatology / MOHS-Micrographic Surgery (Primary) |
OH | 35076146P |
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.