TIMOTHY J STORER (NPI# 1376501734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376501734 |
| Entity Type | Individual |
| Full Name | TIMOTHY J STORER |
| Credential | MD |
| Practice Address |
#12 Lexington Blvd Delaware OH 43015 |
| Mailing Address |
L-3549 Columbus OH 43260-0001 |
| Practice Telephone | 7403620794 |
| Practice Fax Number | 7403684118 |
| Mailing Telephone | 7403837927 |
| Mailing Fax Number | 7403837942 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 350791535 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO | 4046055 | 01 | |
| AETNA | 7007266 | 01 | |
| SUMITTER NO | 353077 | 01 | |
| UHC | 0300610 | 01 | |
| OH | 2248946 | 05 | |
| OH | ANTHEM | 000000195086 | 01 |
| Street Address |
#12 LEXINGTON BLVD |
| City | DELAWARE |
| State | OH |
| Zip Code | 43015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1962056416 | Kelsey Mae Mcpherson | Occupational Therapist | 494 W Central Ave Optional, Delaware, OH 43015 | 2019-08-01 |
| 1821653791 | Keyana Kelley | Optometrist | 1260 Sunbury Road, Suite B, Delaware, OH 43015 | 2019-05-07 |
| 1871009498 | Hagar Ackah-andoh | Registered Nurse | 181 Mcnamara Loop, Lewis Center, OH 43015 | 2017-12-19 |
| 1144749227 | Huzianatu Bundu | Registered Nurse | 130 Crystal Petal Drive, Delaware, OH 43015 | 2017-09-11 |
| 1093232563 | Stephanie Chappel | Occupational Therapist | 746 State Route 37, Delaware, OH 43015 | 2017-08-25 |
| 1083154066 | Angela Vinokur | Counselor | 250 S. Henry St., Delaware, OH 43015 | 2017-02-24 |
| 1437697752 | Dorita Patricia Thompson | Nurse's Aide | 88 N Sandusky Street, Delaware, OH 43015 | 2017-02-07 |
| 1750832762 | Jenni Rebecca Longo | Counselor | 88 North Sandusky St, Dlaware, OH 43015 | 2016-10-14 |
| 1851744403 | Samuel Edward Balla | Social Worker | 88 N. Sandusky St, Delaware, OH 43015 | 2016-07-19 |
| Find all providers in zip 43015 | ||||
| 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 |
|---|---|---|---|---|
| 1417119694 | Seth Bendo | Dermatology | 801 Ohio Health Blvd, Suite 230, Delaware, OH 43015-7873 | 2008-06-27 |
| 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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| 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.