MIDWEST DERMATOLOGY, LASER & VEIN (NPI# 1174652325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174652325 |
| Entity Type | Organization |
| Organization Name | MIDWEST DERMATOLOGY, LASER & VEIN |
| Practice Address |
3006 N Co Road 25-a Troy OH 45373-1373 |
| Practice Telephone | 9373352075 |
| Practice Fax Number | 9373390612 |
| Mailing Telephone | 9373352075 |
| Mailing Fax Number | 9373390612 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | MICHELE WENDLING (BILLING MANAGER) |
| Authorized Official Telephone | 9373359998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Street Address |
3006 N CO ROAD 25-A |
| City | TROY |
| State | OH |
| Zip Code | 45373-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1417210261 | Nicole Rachel Dominiak | Dermatology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2012-06-18 |
| 1003146721 | Premier Dermatology | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2009-12-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.