GRAY DERM PLLC


Address: 525 N Eastown Rd Ste A, Lima, OH 45807-2268
Phone: 4199988297

GRAY DERM PLLC (NPI# 1104392679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104392679
Entity Type Organization
Organization Name GRAY DERM PLLC
Other Organization Name GRAY DERM LLC
Practice Address 525 N Eastown Rd Ste A
Lima
OH 45807-2268
Mailing Address 1272 Hunter Ave
Columbus
OH 43201-3231
Practice Telephone 4199988297
Practice Fax Number 4192268309
Mailing Telephone 6145966789
Enumeration Date 2018-10-22
Last Update Date 2019-11-13
Authorized Official Name BRYAN GRAY (OWNER)
Authorized Official Telephone 6145966789
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI MI LICENSE 5101021720 01
OH OH LICENSE 34.013501 01

Other Provider/Organization Names

Other Name Type Code
Gray Derm LLC Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1272 Hunter Ave, Columbus, OH 432013231 6145966789
305 N Leroy St, Fenton, MI 484302729 8106299200 8106299653
1005 Bellefontaine Ave Ste 350, Lima, OH 458042885 4199988297 4192268309

Office Location

Street Address 525 N EASTOWN RD STE A
City LIMA
State OH
Zip Code 45807-2268

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508023896 Lima Memorial Professional Corporation Specialist 525 N Eastown Rd Ste A, Lima, OH 45807-2268 2008-05-22
1013382068 Lima Memorial Professional Corporation Pediatrics 525 N Eastown Rd Ste A, Lima, OH 45807-2268 2015-12-02
1831514025 Bryan Gray Dermatology 525 N Eastown Rd Ste A, Lima, OH 45807-2268 2014-02-24
1871867663 Lima Memorial Professional Corporation Family Medicine 525 N Eastown Rd Ste A, Lima, OH 45807-2268 2012-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871849828 Ashton J. Crook Nurse Practitioner 3224 Jarvis Drive, Lima, OH 45807 2012-07-27
1093935140 Lucy Marie Garland Registered Nurse 7070 Billymack Rd, Elida, OH 45807 2007-04-30
1629164728 Kent Brandeberry Family Medicine 3224 Jarvis Dr, Lima, OH 45807 2006-10-05
1548557762 Lima Cancer and Blood Disease Center Inc Internal Medicine 375 N Eastown Rd, Suite C, Lima, OH 45807 2011-07-08
1023031903 Physicians Inc Internal Medicine 750 W High St, Suite 250, Lima, OH 45807 2006-07-25
1245501303 Vickie Leeann Levan Registered Nurse 200 Baxter St, Elida, OH 45807-1005 2012-01-21
1255804969 Julia M Smith Student in an Organized Health Care Education/Training Program 324 Baxter St, Elida, OH 45807-1007 2019-01-04
1871669317 Steven Merritt Jones Dentist 409 E Kiracofe Ave, Elida, OH 45807-1031 2006-11-27
1356445084 Todd R Bullinger Chiropractor 415 E Kiracofe Ave, Elida, OH 45807-1031 2006-09-12
1336590165 Mary E Wiechart Dentist 409 E Kiracofe Ave, Lima, OH 45807-1031 2016-06-22
Find all providers in zip 45807

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295127371 Alejandro Morales Dermatology 511 El Bucare, La Molina, Lima, LIMA 00012 2015-02-25
1992229850 Audrey H. Jones Dermatology 920 W Market St Ste 320, Lima, OH 45805-2777 2017-08-01
1831514025 Bryan Gray Dermatology 525 N Eastown Rd Ste A, Lima, OH 45807-2268 2014-02-24
1528256914 Jennifer J Breedlove Dermatology 1005 Bellefontaine Ave Ste 350, Lima, OH 45804-2885 2007-10-10
1821011057 Michael Riley Heaphy Sr. Dermatology 750 W High St, Suite 300, Lima, OH 45801-2969 2006-07-26
1730101742 William O Light Dermatology 1005 Bellefontaine Ave, Ste 225, Lima, OH 45804-2896 2006-07-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023623808 Bria Deshea Barjuca Dermatology 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 2020-09-09
1184263675 Sunkiss Essentials LLC Dermatology 2926 State Rd Ste 369, Cuyahoga Falls, OH 44223-1244 2019-12-31
1770048894 Teresa O'connell Dermatology Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 2019-02-02
1144737560 Robert Brody Md Co Dermatology 3461 Warrensville Center Rd Ste 101, Shaker Heights, OH 44122-5227 2018-01-08
1366893752 Kirsten Dickinson Dermatology Cleveland Clinic 9500 Euclin Ave, Cleveland, OH 44195-1009 2016-06-27
1649629692 Megan Ashley Jones-sheets Dermatology 75 Metro Place North, Suite 195, Dublin, OH 43017 2016-06-10
1275982746 Samantha N Barry Dermatology 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242-6858 2016-06-06
1720433592 Nitin Tiwari Dermatology 4439 State Route 159 Ste G50, Chillicothe, OH 45601-7202 2016-04-29
1487008751 Kiyanna Marie Williams Dermatology 2049 E 100th St A Building, Cleveland, OH 44195-1014 2016-04-22
1336502038 Jacqueline Graham Dermatology 566 White Pond Dr Ste E, Akron, OH 44320-1116 2016-03-30
Find all providers with the same taxonomy

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City LIMA
Zip Code 45807

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Dataset Information

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.

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