DR. JENNIFER L POPOVSKY


Address: 1133 Medina Rd Ste 100, Medina, OH 44256-5913
Phone: 3302394350

DR. JENNIFER L POPOVSKY (NPI# 1952307324) 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) 1952307324
Entity Type Individual
Full Name DR. JENNIFER L POPOVSKY
Other Name DR. JENNIFER A LEVIN
Credential M.D.
Practice Address 1133 Medina Rd Ste 100
Medina
OH 44256-5913
Practice Telephone 3302394350
Practice Fax Number 3302394584
Mailing Telephone 3302394350
Mailing Fax Number 3302394584
Enumeration Date 2005-06-21
Last Update Date 2014-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
35076146 P OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH MEDICARE GROUP LEGACY NUM 9186055 01
OH 2190785 05
OH MEDICARE RAILROAD 070015200 01
OH MEDICARE GROUP LEGACY NUM 9186053 01

Office Location

Street Address 1133 MEDINA RD STE 100
City MEDINA
State OH
Zip Code 44256-5913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407321193 Amy Davis Nurse Practitioner 1133 Medina Rd Ste 100, Medina, OH 44256-5913 2018-10-09
1679965289 Carl Barrick Dermatology 1133 Medina Rd Ste 100, Medina, OH 44256-5913 2015-02-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577408 Phil Mcclelland Counselor 520 Miller Dr, Medina, OH 44256 2020-01-15
1619519444 Lauren Marie Blakney Nurse Practitioner 970 E Washington St., Medina, OH 44256 2019-10-14
1558922286 Jennifer Sue Arhin Nurse Practitioner 807 E Washington St., Ste 220, Medina, OH 44256 2019-06-24
1891263927 Jena Christine Palmer Nurse Practitioner 817 E Washington Street, Medina, OH 44256 2018-11-07
1154849891 Janelle Liggett-schultz Licensed Practical Nurse 8170 Coon Club Rd, Medina, OH 44256 2017-09-01
1942725478 Amanda Kay Byrne Registered Nurse 1000 Concord Dr., Medina, OH 44256 2017-08-05
1821526922 Melissa Marie Rutti Nurse Practitioner 111 Reagan Pkwy, Medina, OH 44256 2017-06-01
1992238919 Lisa Scherler Speech-Language Pathologist 3880 Ridge Rd., Medina, OH 44256 2017-04-06
1770026502 Victoria Lee Ayala Speech-Language Pathologist 390 Fair Street, Berea, OH 44256 2016-11-28
1982076626 Finding Your Identity LLC Community/Behavioral Health 124 West Lafayette Road, Suite 100, Medina, OH 44256 2015-10-21
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205104601 Dermatologic Surgery Center of Northeast Ohio Inc Dermatology 1133 Medina Rd, Suite 100, Medina, OH 44256-0000 2011-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689973638 Apex Dermatology and Skin Surgery Center LLC Dermatology 7580 Auburn Road, Suite 301, Tripoint Medical Center, Physician Pavillion, Painesville, OH 44077 2011-03-16
1235442211 Dermatology & Surgery of Southern Ohio, Inc. Dermatology 7132 Cincinnati Dayton Rd, Suite 200, Liberty Townshp, OH 45069-1775 2010-07-20
1619070224 West Ohio Dermatology, Inc. Dermatology 750 W High St Ste 300, Lima, OH 45801-2967 2006-09-07
1912910803 Harry Michael Humeniuk Dermatology 4935 Harroun Rd, Sylvania, OH 43560-2107 2006-08-14
1891783494 Henry Michael Duke Dermatology 6210 N Main St, Dayton, OH 45415-3111 2005-10-10
1356884837 Bravia Dermatology Group, LLC Dermatology 2000 Regency Ct, Suite #201, Toledo, OH 43623-3090 2016-12-01
1932592698 Allied Dermatology and Skin Surgery, LLC Dermatology 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 2015-03-05
1508197112 Ohio Skin Cancer Institute LLC Dermatology 602 Morrison Rd, Gahanna, OH 43230-5342 2010-01-21
1942433065 Columbus Skin Surgery Center, Inc. Dermatology 6670 Perimeter Dr, Suite 260, Dublin, OH 43016-8056 2009-08-25
1801030598 Rem Jr., Inc. Dermatology 3632 W Market St, Suite 102, Fairlawn, OH 44333-2494 2009-04-24
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Competitor

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City MEDINA
Zip Code 44256

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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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