DR. JOHN C. MOAD (NPI# 1962484204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962484204 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. MOAD |
| Credential | M.D. |
| Practice Address |
7835 Paragon Road Dayton OH 45459 |
| Mailing Address |
7835 Paragon Road Dayton OH 45459-4021 |
| Practice Telephone | 9374342351 |
| Practice Fax Number | 9374341266 |
| Mailing Telephone | 9374342351 |
| Mailing Fax Number | 9374341266 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
OH35076460 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 9576541 | 05 |
| Street Address |
7835 PARAGON ROAD |
| City | DAYTON |
| State | OH |
| Zip Code | 45459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652325 | Midwest Dermatology, Laser & Vein | Dermatology | 3006 N Co Road 25-a, Troy, OH 45373-1373 | 2007-03-05 |
| 1780613422 | Dena M Elkeeb | Dermatology | 4101 Edwards Rd Fl 2, Cincinnati, OH 45209-1678 | 2006-07-03 |
| 1811950751 | Neera Agarwal-antal | Dermatology | 1325 Corporate Dr, Suite A, Hudson, OH 44236-4432 | 2006-04-11 |
| 1659350247 | Jonathan Bass | Dermatology | 3737 Park East Drive, Suite #202, Beachwood, OH 44122 | 2006-01-11 |
| 1922093855 | Adam B Hessel | Dermatology | 5720 Blazer Parkway, Suite B, Dublin, OH 43017 | 2005-09-16 |
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1417210261 | Nicole Rachel Dominiak | Dermatology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2012-06-18 |
| 1003146721 | Premier Dermatology | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2009-12-31 |
| 1427234798 | University Hospitals Medical Group, Inc. | Dermatology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-01-16 |
| 1497894950 | Arthur E. Pellegrini, M.d. LLC | Dermatology | 660 London Ave, Suite A, Marysville, OH 43040-1515 | 2007-02-05 |
| 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.