SKIN DIAGNOSTIC, INC. (NPI# 1871576165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871576165 |
| Entity Type | Organization |
| Organization Name | SKIN DIAGNOSTIC, INC. |
| Other Organization Name | SKIN DIAGNOSTICS, INC |
| Practice Address |
9201 Montgomery Rd Cincinnati OH 45242-7750 |
| Mailing Address |
Po Box 643290 Cincinnati OH 45264-3290 |
| Practice Telephone | 5136310059 |
| Practice Fax Number | 5136310068 |
| Mailing Telephone | 5136310059 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | DR. BEATRIZ PORRAS (PRESIDENT) |
| Authorized Official Telephone | 5136310059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2877794 | 05 |
| Other Name | Type Code |
|---|---|
| Skin Diagnostics, Inc | Doing Business As Name - Organization |
| Street Address |
9201 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45242-7750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011513 | Beatriz Porras | Specialist | 9201 Montgomery Rd, Cincinnati, OH 45242-7750 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394019 | Christine E Fuller | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2005-05-23 |
| 1366555864 | Hai Xuan Bui | Pathology | 3200 Vine St, 113, Cincinnati, OH 45220-2213 | 2006-08-17 |
| 1427064468 | Anthony J. Kubat | Pathology | 231 Albert Sabin Way, Department of Pathology, Cincinnati, OH 45267-0001 | 2006-07-31 |
| 1265455067 | Shagufta A Khan | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-07-25 |
| 1487677118 | Toni M. Robinson-smith | Pathology | 231 Albert Sabin Way, Department of Pathology, Cincinnati, OH 45267-0001 | 2006-07-25 |
| 1225057482 | Ady Kendler | Pathology | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457730483 | Renuka Malenie | Pathology | Cleveland Clinic Pathology Department Desk L25, Cleveland, OH 44195-0001 | 2015-05-22 |
| 1164801312 | Patrick Mcintire | Pathology | 9500 Euclid Ave # L15, Cleveland, OH 44195-3813 | 2015-05-20 |
| 1558756965 | Clifton G Fulmer | Pathology | 9500 Euclid Avenue L2-133j, Cleveland, OH 44193-4805 | 2015-04-02 |
| 1366873416 | Edwin Robert Phillips | Pathology | 3506 Muirfield Ave, Toledo, OH 43614-3637 | 2013-11-27 |
| 1215270574 | David Henry Groth | Pathology | 25 Heritage Ct, Blue Ash, OH 45241-3261 | 2013-04-04 |
| 1891951265 | Nancy Jo-lynn Tresser | Pathology | 23770 Letchworth Rd, Beachwood, OH 44122-4112 | 2008-08-05 |
| 1548366594 | Silvia Tse Bunting | Pathology | 155 5th St. Ne, Barberton, OH 44203-9943 | 2006-09-16 |
| 1831143387 | Shamlal Mangray | Pathology | 700 Childrens Dr # D00651, Columbus, OH 43205 | 2006-05-20 |
| 1063474724 | Latulippe Pathology P A | Pathology | 425 W 5th Street, E Liverpool, OH 43920 | 2006-04-06 |
| 1225014905 | Geoffrey Mendelsohn | Pathology | 33830 Redbridge Ln, Solon, OH 44139-2094 | 2005-12-15 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45242 |
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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.