| NPI | 1023138492 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-30 |
| Last Updated | 2013-02-22 |
| Authorized Official | Gary Palmer MEDICAL DOCTOR PRES. Phone: 9374334922 |
| Mailing Address | 6720 Loop Rd Centerville, OH 45459-2161 United States Phone: (937) 433-4922 | Fax: (937) 433-6520 📍 View Map |
| Primary Practice Address | 6720 Loop Rd Centerville, OH 45459-2161 United States Phone: (937) 433-4922 | Fax: (937) 433-6520 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | OH | 402741848001 | medical mutual provider |
| Other (non-Medicare) | OH | ========= | united healthcare number |
| Other (non-Medicare) | OH | ========= | aetna |
| Other (non-Medicare) | OH | ========= | cigna |
| Other (non-Medicare) | OH | de181759 | medigap provider number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207NS0135X – Dermatology, Procedural Dermatology | OH | 35043172 |
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About NPI 1023138492
Dermatology And Laser Surgery Center Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1023138492. The primary specialty listed is Dermatology, Procedural Dermatology. The organization is located in Centerville, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023138492?
NPI 1023138492 belongs to Dermatology And Laser Surgery Center Inc, a Dermatology, Procedural Dermatology in Centerville, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023138492 active?
The current status of NPI 1023138492 in the NPPES registry is Active. The record was last updated on 2013-02-22.
What specialty is NPI 1023138492?
NPI 1023138492 is classified under the taxonomy Dermatology, Procedural Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023138492?
You can verify NPI 1023138492 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023138492?
The primary practice address on file for NPI 1023138492 is 6720 Loop Rd, Centerville, OH 45459-2161. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023138492 issued?
NPI 1023138492 was first issued (enumerated) on 2007-03-30. The NPPES record was last updated on 2013-02-22.
Practice Location Map
Dermatology And Laser Surgery Center Inc is located at 6720 Loop Rd, Centerville, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dermatology And Laser Surgery Center Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023138492. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology, Procedural Dermatology | 35043172 | OH |