DR. KERITH ELIZABETH SPICKNALL (NPI# 1306053707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306053707 |
| Entity Type | Individual |
| Full Name | DR. KERITH ELIZABETH SPICKNALL |
| Credential | M.D. |
| Practice Address |
222 Piedmont Ave Cincinnati OH 45219-4231 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134747630 |
| Practice Fax Number | 5134757636 |
| Mailing Telephone | 5135855505 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35093057 | OH | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 4301088164 | MI | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
4301088164 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100094580 | 05 | |
| IN | 200962450 | 05 | |
| OH | 2984043 | 05 |
| Street Address |
222 PIEDMONT AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829514 | University Orthopaedic Consultants of Cincinnti, Inc. | Physician Assistant | 222 Piedmont Ave, Ste 2200, Cincinnati, OH 45219-4238 | 2005-05-31 |
| 1235775255 | Courtney Jo Bockrath | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2019-11-25 |
| 1124593058 | Cindy Daggitt | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-10-08 |
| 1831683226 | Lauren Rankine | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-06-19 |
| 1861996423 | Emily Thitoff | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-03-20 |
| 1174026025 | Amanda Burton | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-03-16 |
| 1629579610 | Katherine Christian Romanowicz | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-02-24 |
| 1063929701 | Blair Mcchesney | Registered Nurse | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-01-03 |
| 1871028357 | Raquel Keren Zemtsov | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-21 |
| 1053844738 | Forest Weir | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| 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 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.