BUCKEYE DERMATOLOGY INC NPI 1568560456

NPI Information

  • NPI: 1568560456
  • Provider Name: BUCKEYE DERMATOLOGY INC
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 5080 BRADENTON AVE
    STE B
    DUBLIN, OH
    ZIP 43017
  • Phone: (614) 761-1151

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NPI Details

BUCKEYE DERMATOLOGY INC is a dermatopathology dermatology in Dublin, OH. The provider is 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. BUCKEYE DERMATOLOGY INC NPI is 1568560456. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5080 BRADENTON AVE
STE B
DUBLIN, OH
ZIP 43017-520
Phone: (614) 761-1151
Fax: (614) 761-4893

The provider's authorized official is Julio C Cruz .
The authorized official title is President and has the following contact phone number (614) 761-1151.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207ND0900XDermatologyDermatopathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12267836MEDICAIDOHIO
21871588723OTHERNPI INDIVIDUAL
31922093855OTHERNPI INDIVIDUAL
40977457MEDICAIDOHIO
50934887MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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