CITY DERMATOLOGY AND LASER (NPI# 1770971350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770971350 |
| Entity Type | Organization |
| Organization Name | CITY DERMATOLOGY AND LASER |
| Practice Address |
1 W 4th St Suite 2200 Cincinnati OH 45202-3604 |
| Practice Telephone | 5134213376 |
| Practice Fax Number | 5136182128 |
| Mailing Telephone | 5134213376 |
| Mailing Fax Number | 5136182128 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | LANA LONG (OWNER) |
| Authorized Official Telephone | 5134213376 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | THE SKIN CANCER CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35.068727 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 W 4TH ST SUITE 2200 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796722 | David Leo Fedders | Counselor | 1 W 4th St, Rm 2250, Cincinnati, OH 45202-3604 | 2006-08-31 |
| 1124233150 | Carson Bender Jr. | Technician/Technologist | 1 W 4th St, Room 423, Cincinnati, OH 45202-3604 | 2007-05-12 |
| 1003973694 | Dwight David Dessart | Dentist | 1 W 4th St, Suite 2710, Cincinnati, OH 45202 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| 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 | 45202 |
Please comment or provide details below to improve the information on CITY DERMATOLOGY AND LASER.
| 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.