DR. PALMER – NPI #1578682373
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).

DR. PALMER is a dermatologist located in ENGLEWOOD, OH. NPPES has assigned the NPI number 1578682373 to DR. PALMER on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DR. PALMER” is a dba name, the actual legal business name for this organization is DERMATOLOGY LASER SURGERY CENTER 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 6 years ago on Aug 22, 2020. 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 DR. PALMER below.

NPI Profile for
DERMATOLOGY LASER SURGERY CENTER INC.

NPI Number
1578682373
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
DERMATOLOGY LASER SURGERY CENTER INC.
Doing Business As (dba): DR. PALMER
Primary location
5 WENGER ROAD
ENGLEWOOD, OH 45322
Phone: (937) 832-7555 Fax: (937) 830-2227
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY PALMER
MEDICAL DOCTOR PRES.
Phone: (937) 433-4922
Updated
Identifiers

Identifiers for DR. PALMER

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
OTHERMEDICAL MUTUALOH402741848001
OTHERMEDIGAP NUMBEROHDE181759
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 35043172

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.