DR. DAVID BROOMALL


Address: 8240 Northcreek Dr, Cincinnati, OH 45236-2377
Phone: 5132467000

DR. DAVID BROOMALL (NPI# 1164469144) 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) 1164469144
Entity Type Individual
Full Name DR. DAVID BROOMALL
Credential MD
Practice Address 8240 Northcreek Dr
Cincinnati
OH 45236-2377
Mailing Address 4685 Forest Ave
Ste C
Cincinnati
OH 45212-3397
Practice Telephone 5132467000
Practice Fax Number 5132465284
Enumeration Date 2006-05-31
Last Update Date 2017-03-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 35048860 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0836251 05

Office Location

Street Address 8240 NORTHCREEK DR
City CINCINNATI
State OH
Zip Code 45236-2377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932168085 Julie Elizabeth Mundey Physical Therapist 8240 Northcreek Dr, Cincinnati, OH 45236-2283 2006-03-18
1184283459 Jenna Naber Physical Therapist 8240 Northcreek Dr, Cincinnati, OH 45236-2377 2019-06-11
1689167470 Jennifer Silvestain Audiologist 8240 Northcreek Dr, Cincinnati, OH 45236-2377 2018-06-07
1124550629 Joy Cheng Pediatrics 8240 Northcreek Dr, Cincinnati, OH 45236-2377 2017-04-03
1346797248 Andrew Blain Physical Therapist 8240 Northcreek Dr, Cincinnati, OH 45236-2377 2016-09-08
1679932792 Kristen Deangelis Dietitian, Registered 8240 Northcreek Dr, Suite 4100, Cincinnati, OH 45236-2283 2016-02-17
1780926014 Danielle Elizabeth Connor Pediatrics 8240 Northcreek Dr, Cincinnati, OH 45236-2283 2013-03-25
1669720348 Sarah Belew Cox Psychologist 8240 Northcreek Dr, Ste 4100, Cincinnati, OH 45236-2283 2012-08-28
1255654729 Katherine Marcelle Otto Spitzer Dietitian, Registered 8240 Northcreek Dr, Cincinnati, OH 45236-2377 2010-03-11
1215193537 Jyothi Miriam Joseph-hayes Internal Medicine 8240 Northcreek Dr, Cincinnati, OH 45236-2283 2008-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700400975 Kimberly Lorraine Carter Technician 3870 Alta Avenue, # 1, Cincinnati, OH 45236 2020-06-03
1548880032 Manu Jacob George Student in an Organized Health Care Education/Training Program 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 2020-04-24
1497384374 Haider Hussain Shah Student in an Organized Health Care Education/Training Program 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 2020-04-03
1467091868 Wickshire Deer Park Opco LLC Assisted Living Facility 3801 East Galbraith Road, Cincinnati, OH 45236 2020-01-02
1205497633 Nicholas Theodore D'entremont Student in an Organized Health Care Education/Training Program 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 2019-06-26
1407410699 Atchayaa Gunasekharan Student in an Organized Health Care Education/Training Program 4777 East Galbraith Road, Cincinnati, OH 45236 2019-04-24
1225591043 Lauren Elizabeth Hamilton Student in an Organized Health Care Education/Training Program 4777 East Galbraith Rd, Cincinnati, OH 45236 2019-04-09
1972093714 Hassan Shafique Student in an Organized Health Care Education/Training Program 4777 E Galbraith, Cincinnati, OH 45236 2018-05-17
1912494915 Milica Antic Student in an Organized Health Care Education/Training Program The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 2018-04-16
1376041061 Angela Eten Nurse Practitioner 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 2018-01-27
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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
1023623808 Bria Deshea Barjuca Dermatology 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 2020-09-09
1528401213 Jacqueline Fisher Dermatology 8000 5 Mile Rd Ste 260, Cincinnati, OH 45230-2163 2013-04-11
1265778104 Louis Ernest Valker Dermatology 6375 Shawnee Pines Dr, Cincinnati, OH 45243-3153 2012-12-21
1720344575 Veronica Anne Russo Dermatology 4101 Edwards Rd Ste 200, Cincinnati, OH 45209-1672 2012-04-05
1366771610 Donald J Blaney Dermatology 5791 Cleves Warsaw Pike, Cincinnati, OH 45233 2009-12-16
1518100718 Anne Louise Housholder Dermatology 3590 Lucille Drive, Cincinnati, OH 45213 2009-04-17
1609080837 Jennifer Cafardi Dermatology 2123 Auburn Ave Ste 210, Cincinnati, OH 45219 2007-05-09
1851422026 Dawn I Greenwald Dermatology 2123 Auburn Ave # 210, Cincinnati, OH 45219-2906 2007-03-08
1922139195 Debra S Anderson Dermatology 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 2007-03-08
1164585675 Wayne E. Bauman, M.d. Dermatology 10496 Montgomery Rd Suite 201, Cincinnati, OH 45242 2006-12-18
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Competitor

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City CINCINNATI
Zip Code 45236

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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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