BRECKSVILLE DERMATOLOGY, INC. (NPI# 1770820722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770820722 |
| Entity Type | Organization |
| Organization Name | BRECKSVILLE DERMATOLOGY, INC. |
| Practice Address |
8751 Brecksville Rd Ste 50 Brecksville OH 44141-1950 |
| Practice Telephone | 4402625520 |
| Mailing Telephone | 4402625520 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| Authorized Official Name | GEORGANN POULOS (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4402625520 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35120088 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO MEDICAL LICENSE | 35120088 | 01 |
| Street Address |
8751 BRECKSVILLE RD STE 50 |
| City | BRECKSVILLE |
| State | OH |
| Zip Code | 44141-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477035541 | Hannah L Barber | Speech-Language Pathologist | Therapy and Wellness Connection, 10245 Brecksville Rd, Brecksville, OH 44141 | 2018-09-05 |
| 1467970111 | Chelsea Kalynn Meng | Clinical Neuropsychologist | 8180 Brecksville Rd # 115, Brecksville, OH 44141 | 2017-09-01 |
| 1790206621 | Bryan James Holtsclaw | Occupational Therapy Assistant | 6638 Mill Rd, Cleveland, Oh, Brecksville, OH 44141 | 2017-06-30 |
| 1518410869 | Metrohealth System | Pharmacy | 9200 Treeworth Boulevard, Brecksville, OH 44141 | 2016-08-03 |
| 1881024230 | Fauzia Javaheri | Counselor | 8315 Settlers Pasge, Brecksville, OH 44141 | 2013-11-22 |
| 1669728473 | Pharmacy Specialty Group, LLC | Pharmacy | 6910 Treeline Dr Ste G, Brecksville, OH 44141 | 2012-07-30 |
| 1447497326 | Michelle Emch | Psychiatry & Neurology | 8827 Stover Ln, Brecksville, OH 44141 | 2009-01-14 |
| 1457508046 | Carol Michalak Janotta | Psychologist | 8221 Brecksville Rd., Suite #101, Brecksville, OH 44141 | 2008-08-26 |
| 1457514069 | Kathleen Selby | Occupational Therapist | 10000 Brecksville, Brecksville, OH 44141 | 2008-07-03 |
| 1538343561 | Jeffrey M Augustine | Optometrist | 6960 South Edgerton Road, Brecksville, OH 44141 | 2007-12-27 |
| Find all providers in zip 44141 | ||||
| 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 |
|---|---|---|---|---|
| 1912191461 | Georgann A Poulos | Dermatology | 8751 Brecksville Rd, Suite 50, Brecksville, OH 44141-1949 | 2007-08-28 |
| 1962456087 | Cynthia P Huang | Dermatology | 6909 Royalton Rd, Suite 203, Brecksville, OH 44141-2478 | 2006-05-22 |
| 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 | ||||
| City | BRECKSVILLE |
| Zip Code | 44141 |
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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.