Justin G Hastings (NPI# 1013250794, PAC ID# 8729309620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013250794 |
| PAC ID by PECOS | 8729309620 |
| Professional Enrollment ID | I20181220000866 |
| Full Name | Justin G Hastings |
| Organization Legal Name | DERMATOLOGY PARTNERS, INC. |
| Address |
9075 Town Centre Dr Suite 100 Broadview Heights OH 44147-4044 |
| Phone Number | 4405264570 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4981660594 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360020 | SUMMA HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 9075 Town Centre Dr, Suite 100, Broadview Heights, OH 44147-4044 | 4405264570 | DERMATOLOGY PARTNERS, INC. |
| Organization Legal Name | DERMATOLOGY PARTNERS, INC. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy Ann Yetzer | Nurse Practitioner | Dermatology Partners, Inc. | 16712 Pearl Rd, Strongsville, OH 44136-6049 |
| Paul Bedocs | Dermatology | Dermatology Partners, Inc. | 36701 American Way, Suite 3, Avon, OH 44011-4063 |
| Michelle Elaine Bodie | Physician Assistant | Dermatology Partners, Inc. | 615 Fulton St, Suite 300, Port Clinton, OH 43452-2001 |
| Renee A Ott | Nurse Practitioner | Dermatology Partners, Inc. | 2500 W Strub Rd, Suite 330, Sandusky, OH 44870-5390 |
| Terri Lee Nagy | Physician Assistant | Dermatology Partners, Inc. | 2500 W Strub Rd, Suite 330, Sandusky, OH 44870-5390 |
| Judith M Andreano | Dermatology | Dermatology Partners, Inc. | 2500 W Strub Rd, Suite 330, Sandusky, OH 44870-5390 |
| Nathaniel Charter Cevasco | Dermatology | Dermatology Partners, Inc. | 16712 Pearl Rd, Strongsville, OH 44136-6049 |
| Rosanne M Paul | Dermatology | Dermatology Partners, Inc. | 16712 Pearl Rd, Strongsville, OH 44136-6049 |
| Jennifer W Gould | Dermatology | Dermatology Partners, Inc. | 2500 W Strub Rd, Suite 330, Sandusky, OH 44870-5390 |
| Laleh A Bedocs | Dermatology | Dermatology Partners, Inc. | 2500 W Strub Rd, Suite 330, Sandusky, OH 44870-5390 |
| Street Address |
9075 TOWN CENTRE DR SUITE 100 |
| City | BROADVIEW HEIGHTS |
| State | OH |
| Zip | 44147-4044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard M Waxman | Podiatry | 7954 Broadview Rd, Broadview Heights, OH 44147-1202 | |
| David Anthony Harding | Podiatry | 8200 Avery Rd, Broadview Heights, OH 44147-1662 | |
| Mark Lang | Family Medicine | 9417 Broadview Rd, Broadview Hts, OH 44147-2307 | |
| Melinda A Defilippo Szucs | Family Medicine | Broadview Heights Family Medicine, Inc | 2001 E Royalton Rd, Suite C, Broadview Heights, OH 44147-2811 |
| Matthew C Andresen | Family Medicine | Broadview Heights Family Medicine, Inc | 2001 E Royalton Rd, Suite C, Broadview Heights, OH 44147-2811 |
| Jocelyn Tugaoen Russ | Internal Medicine | The Cleveland Clinic Foundation | 2001 E Royalton Rd, Broadview Heights, OH 44147-2811 |
| Denise Christine Pacholski | Nurse Practitioner | The Cleveland Clinic Foundation | 2001 E Royalton Rd, Broadview Heights, OH 44147-2811 |
| Michelle Mackey-sawyer | Family Medicine | Broadview Heights Family Medicine, Inc | 2001 E Royalton Rd, Suite C, Broadview Heights, OH 44147-2811 |
| Christine M King | Family Medicine | Broadview Heights Family Medicine, Inc | 2001 E Royalton Rd, Suite C, Broadview Heights, OH 44147-2811 |
| Lisa Gatrell-jacobs | Nurse Practitioner | Northeast Ohio Practitioner LLC | 2801 E Royalton Rd, Broadview Hts, OH 44147-2827 |
| Find all physicians in zip 44147 | |||
| City | BROADVIEW HEIGHTS |
| Zip Code | 44147 |
| Specialty | DERMATOLOGY |
| City + Specialty | BROADVIEW HEIGHTS + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.