SHANNON MICHELLE NOVOSAD VERMA


Address: 5300 Far Hills Avenue, Dayton, OH 45429-2347
Phone: 9374337536

SHANNON MICHELLE NOVOSAD VERMA (NPI# 1689771933) 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) 1689771933
Entity Type Individual
Full Name SHANNON MICHELLE NOVOSAD VERMA
Other Name SHANNON MICHELLE NOVOSAD
Credential M.D.
Practice Address 5300 Far Hills Avenue
Dayton
OH 45429-2347
Mailing Address 10708 Country Walk Ct.
Centerville
OH 45458
Practice Telephone 9374337536
Practice Fax Number 9374339612
Enumeration Date 2006-09-20
Last Update Date 2016-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 35.090812 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH CIGNA 2130350 01
OH AETNA 9624134 01
OH COVENTRY HEALTH 1900423 01
OH RAILROAD MEDICARE P00640612 01
OH ANTHEM BC/BS 000000571667 01
OH UNITED HEALTHCARE 2927826 01

Office Location

Street Address 5300 FAR HILLS AVENUE
City DAYTON
State OH
Zip Code 45429-2347

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548495336 Shane Chamberlain Clark Dermatology 5300 Far Hills Avenue, Dayton, OH 45429-2347 2009-05-21
1255580171 Eugene Brent Kirkland Dermatology 5300 Far Hills Avenue, Dayton, OH 45429-2347 2008-09-16
1124274477 Rocco Thomas Serrao Dermatology 5300 Far Hills Avenue, Dayton, OH 45429-2347 2008-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821576414 Lauren Danielle Sivley Nurse Practitioner 3535 Sourthern Boulevard, Kettering, OH 45429 2018-08-06
1114446127 Louai Al-samkari Chiropractor 1441 E. Stroop Rd., Kettering, OH 45429 2017-09-12
1407373756 Benjamin Edward Adkins Specialist/Technologist 4116 Vinita Dr., Kettering, OH 45429 2017-08-28
1972036341 James Kim Student in an Organized Health Care Education/Training Program 3535 Southern Boulevard, Kettering, OH 45429 2017-04-04
1023549847 Adrienne Krysiak Emergency Medicine 3525 Southern Boulevard, Kettering, OH 45429 2017-03-23
1386021889 Cassandra Mckoy Counselor 529 East Stroop Road, Kettering, OH 45429 2015-05-04
1417343088 Candace Benoit Obstetrics & Gynecology 3533 Southern Blvd Ste 4600, Dayton, OH 45429 2015-04-10
1275933574 Lee Schwieterman Nurse Practitioner 3535 Southern Blvd., 1 East, Kettering, OH 45429 2014-08-25
1497161947 Robert Jonathon Fresch Jr. Obstetrics & Gynecology 3533 Southern Blvd Ste 3750, Kettering, OH 45429 2014-07-05
1821349812 Lucas Brewer Counselor 1524 E Stroop Rd Ste 300, Kettering, OH 45429 2012-10-01
Find all providers in zip 45429

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
1134362403 Rishi Kumar Gandhi Dermatology 999 Brubaker Dr Ste 3, Dayton, OH 45429-3505 2009-04-15
1689781395 Samia W Borchers Md Inc Dermatology 5727 Far Hills Ave, Dayton, OH 45429 2006-08-25
1699880609 Bruce A. Brumfiel Dermatology 4244 Indian Ripple Rd, Ste 300, Dayton, OH 45440-3279 2006-08-20
1801814272 Rafael A. Perez-figaredo Dermatology 5300 Far Hills Ave., Dayton, OH 45429-2347 2006-07-17
1285689976 Shalini Bahl Dermatology 8363 Yankee St, Dayton, OH 45458-1809 2006-05-23
1578552287 Michael Ian Feldman Dermatology 30 Ashridge Rd., Dayton, OH 45419 2005-10-14
1023005261 Thomas George Olsen Dermatology 7835 Paragon Rd, Dayton, OH 45459-4021 2005-10-03
1114920329 Wright State Physicians Inc Dermatology 725 University Blvd, Dayton, OH 45435-0001 2005-05-23
1952940850 Ohio Skin Surgery and Cosmetic Center Dermatology 999 Brubaker Dr Ste 3, Dayton, OH 45429-3505 2019-12-26
1033683776 Shalini Bahl Md LLC Dermatology 8363 Yankee St, Dayton, OH 45458-1809 2019-01-16
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45429

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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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