ADVANCED DERMATOLOGY AND SKIN SURGERY CENTER, LLC (NPI# 1962602326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962602326 |
| Entity Type | Organization |
| Organization Name | ADVANCED DERMATOLOGY AND SKIN SURGERY CENTER, LLC |
| Practice Address |
5040 Forest Dr Ste 150 New Albany OH 43054-8167 |
| Practice Telephone | 6147759000 |
| Practice Fax Number | 6147759002 |
| Mailing Telephone | 6147759000 |
| Mailing Fax Number | 6147759002 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | WENDY D SCHUEN (OWNER) |
| Authorized Official Telephone | 6147759000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35059547S | OH | Allopathic & Osteopathic Physicians |
| Street Address |
5040 FOREST DR STE 150 |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-8167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336131127 | Wendy D Schuen | Dermatology | 5040 Forest Dr, Ste 150, New Albany, OH 43054-8167 | 2005-08-17 |
| 1134645708 | Kelly Pester | Physical Therapist | 5040 Forest Dr, New Albany, OH 43054-8167 | 2017-08-16 |
| 1053860007 | Nishant Patel | Physical Therapist | 5040 Forest Dr, New Albany, OH 43054-8167 | 2016-09-30 |
| 1376092668 | Brandon Gano | Physician Assistant | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2016-09-27 |
| 1396100863 | New Albany Psychological Services, LLC | Clinic/Center | 5040 Forest Dr, Suite 210, New Albany, OH 43054-8167 | 2015-12-28 |
| 1740693654 | Ashley Gregg Taylor | Registered Nurse | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2014-06-09 |
| 1003103474 | New Albany Surgery Center, LLC | Clinic/Center | 5040 Forest Dr, New Albany, OH 43054-8181 | 2011-07-06 |
| 1083709190 | Orthopedic & Neurological Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 5040 Forest Dr, 300, New Albany, OH 43054-8167 | 2006-10-04 |
| 1376653774 | Joseph D Mangine | Psychologist | 5040 Forest Dr, Suite 210, New Albany, OH 43054-8167 | 2006-08-30 |
| 1174544506 | Robert J Nowinski | Orthopaedic Surgery | 5040 Forest Dr, Suite 300, New Albany, OH 43054-8167 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1548772627 | Samira Yusuf Beyle | Case Manager/Care Coordinator | 6524 Clifton Park Cir N, 201, New Albany, OH 43054 | 2017-10-30 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1497062624 | Kenzi Michelle Schafer | Physician Assistant | 102 W Main St Unit 175, New Albany, OH 43054 | 2010-09-09 |
| 1215248133 | Amanda Esch | Nurse Practitioner | 102 W. Main St. #175, New Albany, OH 43054 | 2010-06-24 |
| 1396063988 | Sarah Westbrook | Licensed Practical Nurse | 5781 Halton Gill Ln., New Albany, OH 43054 | 2010-05-07 |
| 1821326125 | Wesley Hospice, LLC | Hospice Care, Community Based | 4588 Wesley Woods Blvd Ste 2a, New Albany, OH 43054 | 2009-11-24 |
| 1033326319 | Heather Lynn Benjamin | Physical Therapy Assistant | 7277 Smith's Mill Rd., Suite 300, Ne Albany, OH 43054 | 2007-05-17 |
| 1548483670 | Jimmy M Henry | Physical Medicine & Rehabilitation | 5051 Forest Dr, New Albany, OH 43054 | 2007-04-10 |
| Find all providers in zip 43054 | ||||
| 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 |
|---|---|---|---|---|
| 1780759415 | Dermatology and Skin Surgery Center LLC | Dermatology | 240 A Market Street, New Albany, OH 43054 | 2006-11-21 |
| 1174538912 | Alfred L. Knable Jr. | Dermatology | 2241 Green Valley Rd, New Albany, IN 47150 | 2006-07-30 |
| 1336131127 | Wendy D Schuen | Dermatology | 5040 Forest Dr, Ste 150, New Albany, OH 43054-8167 | 2005-08-17 |
| 1962856880 | Megan Brinkworth Vissing | Dermatology | 2241 Green Valley Rd, New Albany, IN 47150-4647 | 2016-04-18 |
| 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 |
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| City | NEW ALBANY |
| Zip Code | 43054 |
Please comment or provide details below to improve the information on ADVANCED DERMATOLOGY AND SKIN SURGERY CENTER, LLC.
| 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.