DR. DOMINIC NEAL MASTRUSERIO (NPI# 1508818386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508818386 |
| Entity Type | Individual |
| Full Name | DR. DOMINIC NEAL MASTRUSERIO |
| Credential | MD |
| Practice Address |
941 Chatham Lane Suite 323 Columbus OH 43221 |
| Mailing Address |
941 Chatham Ln Suite 323 Columbus OH 43221-2416 |
| Practice Telephone | 6144426647 |
| Practice Fax Number | 6144426648 |
| Mailing Telephone | 6144426647 |
| Mailing Fax Number | 6144426648 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35072392M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000130128 | 01 | |
| UHC | 0300516 | 01 | |
| AETNA | 2309291 | 01 |
| Street Address |
941 CHATHAM LANE SUITE 323 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865316 | Kenneth Stephen Lutter | Surgery | 941 Chatham Lane, Suite 215, Columbus, OH 43221-2416 | 2006-03-16 |
| 1487796207 | Ohio Vascular Surgery Inc | Surgery | 941 Chatham Lane, Suite 215, Columbus, OH 43221-2416 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
| 1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
| 1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
| 1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
| 1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
| Find all providers in zip 43221 | ||||
| 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 |
|---|---|---|---|---|
| 1174972434 | West Georgia Medical Associates | Dermatology | 6600 Whittlesey Blvd Bldg A, Columbus, GA 31909-7251 | 2016-06-08 |
| 1770958092 | Diagnostic Dermatopathology | Dermatology | 2101 Brookstone Centre Pkwy, Ste 300, Columbus, GA 31904-9254 | 2015-12-11 |
| 1912379421 | Danielle Wiseley | Dermatology | 1150 Brookstone Centre Parkway, Columbus, GA 31904-4577 | 2015-10-22 |
| 1538503255 | Natalie Grace Spaccarelli | Dermatology | 1328 Dublin Rd Ste 100, Columbus, OH 43215-1054 | 2013-04-24 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1588977912 | Jessica Amie Kaffenberger | Dermatology | 540 Office Center Pl, Suite 240, Columbus, OH 43230-5317 | 2010-07-14 |
| 1821329616 | Comprehensive Skin Cancer Center | Dermatology | 1339 La Rochelle Dr, Columbus, OH 43221-1531 | 2010-01-19 |
| 1982836037 | Bethany R Hairston Md | Dermatology | 724 Leigh Drive, Columbus, MS 39705-3098 | 2009-08-21 |
| 1205011574 | Sandra Jones Wu Md Inc | Dermatology | 1194 Old Henderson Rd Ste A, Columbus, OH 43220-3694 | 2008-01-07 |
| 1477767846 | Monique Elise Kademian | Dermatology | 2100 Marble Cliff Office Park, Columbus, OH 43215-1056 | 2007-05-09 |
| Find all providers in COLUMBUS | ||||
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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.