DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC (NPI# 1902009327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902009327 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY ALLERGY GENERAL PHYSICIANS OF OHIO INC |
| Practice Address |
1820 C Street Lima OH 45804-1832 |
| Mailing Address |
5212 Brandt Pike Suite A Huber Heights OH 45424-6138 |
| Practice Telephone | 4192224559 |
| Practice Fax Number | 4192224589 |
| Mailing Telephone | 9372330748 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | MRS. THERESA LYNN MCFARLAND (CORPORATION SECRETARY) |
| Authorized Official Telephone | 9372330748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35 05 8434M | OH | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
34003765F | OH | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 35 04 3565M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PIN | 000000011383 | 01 |
| OH | MMO PIN | 485805933016 | 01 |
| OH | MMO PIN | 368588672019 | 01 |
| OH | MMO PIN | 394601220019 | 01 |
| OH | ANTHEM PIN | 000000011437 | 01 |
| OH | ANTHEM PIN | 000000066851 | 01 |
| OH | MMO PIN | 485805933022 | 01 |
| OH | PTAN | 9190167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851591887 | Dermatology Allergy General Physicians of Ohio Inc | Internal Medicine | 300 Patrick Avenue, Urbana, OH 43078-2339 | 2007-07-18 |
| 1659574986 | Dermatology Allergy General Physicians of Ohio Inc | Internal Medicine | 1000 W Michigan Street, Sidney, OH 45365-2404 | 2007-06-06 |
| 1568665891 | Dermatology Allergy General Physicians of Ohio Inc | Dermatology | 37 North Plaza Boulevard, Chillicothe, OH 45601-1759 | 2007-06-06 |
| 1447451661 | Dermatology Allergy General Physicians of Ohio Inc | Internal Medicine | 5212 Brandt Pike, Suite A, Huber Heights, OH 45424-6138 | 2007-05-29 |
| Street Address |
1820 C STREET |
| City | LIMA |
| State | OH |
| Zip Code | 45804-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1295127371 | Alejandro Morales | Dermatology | 511 El Bucare, La Molina, Lima, LIMA 00012 | 2015-02-25 |
| 1104392679 | Gray Derm Pllc | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2018-10-22 |
| 1992229850 | Audrey H. Jones | Dermatology | 920 W Market St Ste 320, Lima, OH 45805-2777 | 2017-08-01 |
| 1831514025 | Bryan Gray | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2014-02-24 |
| 1528256914 | Jennifer J Breedlove | Dermatology | 1005 Bellefontaine Ave Ste 350, Lima, OH 45804-2885 | 2007-10-10 |
| 1821011057 | Michael Riley Heaphy Sr. | Dermatology | 750 W High St, Suite 300, Lima, OH 45801-2969 | 2006-07-26 |
| 1730101742 | William O Light | Dermatology | 1005 Bellefontaine Ave, Ste 225, Lima, OH 45804-2896 | 2006-07-25 |
| 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 | ||||
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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.