PREMIER DERMATOLOGY (NPI# 1003146721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003146721 |
| Entity Type | Organization |
| Organization Name | PREMIER DERMATOLOGY |
| Practice Address |
29001 Cedar Rd Suite 203 Lyndhurst OH 44124-4062 |
| Practice Telephone | 4406849933 |
| Mailing Telephone | 4406849933 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | DR. JANET WIESELTHIER (OWNER) |
| Authorized Official Telephone | 4406849953 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
35.070376 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952828 | Premier Dermatology | Dermatology | 48 N 1100 E, American Fork, UT 84003-2910 | 2016-06-10 |
| 1104270834 | Premier Dermatology | Physician Assistant | 537 Stanton Christiana Rd, Suites 107,111,207 & 209, Newark, DE 19713-2146 | 2016-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PREMIER DERMATOLOGY P.C. | 44121 Harry Byrd Hwy St-210, Ashburn, Virginia 20147 |
| Colorado Business Entities | Premier Dermatology, PLLC | 7867 S. Cathay Street, Centennial, CO 80016 |
| Street Address |
29001 CEDAR RD SUITE 203 |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1568847648 | W R Healthcare Management LLC | Specialist | 29001 Cedar Rd, Suite 300, Lyndhurst, OH 44124-4062 | 2015-07-30 |
| 1215345020 | Dr. James Bangayan Foot & Ankle Specialty Inc. | Durable Medical Equipment & Medical Supplies | 29001 Cedar Rd, Suite 309, Lyndhurst, OH 44124-4062 | 2014-07-24 |
| 1952740474 | Thomas Gerard Burke Jr. | Dentist | 29001 Cedar Rd, Suite 453, Lyndhurst, OH 44124-4062 | 2013-06-18 |
| 1689017444 | Neil J Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2013-04-11 |
| 1285923615 | Nannan Thirumavalavan | Urology | 29001 Cedar Rd, Lyndhurst, OH 44124 | 2011-04-06 |
| 1568751485 | Lawrence Scott Frankel | Dentist | 29001 Cedar Rd, Suite 400, Lyndhurst, OH 44124-4062 | 2011-03-31 |
| 1477855153 | University Hospitals Medical Group, Inc. | Plastic Surgery | 29001 Cedar Rd, Suite 202, Lyndhurst, OH 44124-4062 | 2010-12-01 |
| 1710291760 | Matthew David Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2010-08-02 |
| 1164734869 | Jay C Resnick | Dentist | 29001 Cedar Rd, Suite 660, Lyndhurst, OH 44124-4062 | 2010-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652325 | Midwest Dermatology, Laser & Vein | Dermatology | 3006 N Co Road 25-a, Troy, OH 45373-1373 | 2007-03-05 |
| 1780613422 | Dena M Elkeeb | Dermatology | 4101 Edwards Rd Fl 2, Cincinnati, OH 45209-1678 | 2006-07-03 |
| 1811950751 | Neera Agarwal-antal | Dermatology | 1325 Corporate Dr, Suite A, Hudson, OH 44236-4432 | 2006-04-11 |
| 1659350247 | Jonathan Bass | Dermatology | 3737 Park East Drive, Suite #202, Beachwood, OH 44122 | 2006-01-11 |
| 1962484204 | John C. Moad | Dermatology | 7835 Paragon Road, Dayton, OH 45459 | 2005-11-14 |
| 1922093855 | Adam B Hessel | Dermatology | 5720 Blazer Parkway, Suite B, Dublin, OH 43017 | 2005-09-16 |
| 1417210261 | Nicole Rachel Dominiak | Dermatology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2012-06-18 |
| 1427234798 | University Hospitals Medical Group, Inc. | Dermatology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-01-16 |
| 1497894950 | Arthur E. Pellegrini, M.d. LLC | Dermatology | 660 London Ave, Suite A, Marysville, OH 43040-1515 | 2007-02-05 |
| 1114097623 | Mary Jo Kendrick | Dermatology | 3555 Olentangy River Rd, Suite 4000, Columbus, OH 43214-3912 | 2006-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.