EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA – NPI #1063564664
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA is a dermatologist located in COLUMBUS, OH. NPPES has assigned the NPI number 1063564664 to EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA on January 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA” is a dba name, the actual legal business name for this organization is EASTSIDE DERMATOLOGY, INC.. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 18 years ago on Oct 16, 2008. 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 EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA below.

NPI Profile for
EASTSIDE DERMATOLOGY, INC.

NPI Number
1063564664
Enumeration Date

(more than 19 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
EASTSIDE DERMATOLOGY, INC.
Doing Business As (dba): EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA
Primary location
150 TAYLOR STATION RD
SUITE 250
COLUMBUS, OH 43213
Phone: (614) 863-3222 Fax: (614) 863-4450
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALAN PARKS
PRESIDENT
Phone: (614) 863-3222
Updated
Identifiers

Identifiers for EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERALAN PARKS ANTHEM IDOH000000118991
OTHERALAN PARKS NPIOH1598751653
OTHERSTEPHANIE COTELL ANTHEM IOH000000214662
OTHERSTEPHANIE COTELL NPIOH1922093459
OTHERYAHNA T SMITH CNP NPIOH1215972484
MEDICAIDOH2285218
MEDICAIDOH0665856
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
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 OH 35054686

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.