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BUCKEYE DERMATOLOGY INC NPI 1568560456


NPI Information

NPI: 1568560456
Provider Name: BUCKEYE DERMATOLOGY INC
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
5080 BRADENTON AVE
STE B
DUBLIN, OH
ZIP 43017
Phone: (614) 761-1151
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BUCKEYE DERMATOLOGY INC is a dermatology in Dublin, OH. The provider is 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. 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 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes
2207ND0900XDermatologyDermatopathologyX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10934887MEDICAIDOHIO
21871588723OTHERNPI INDIVIDUAL
30977457MEDICAIDOHIO
41922093855OTHERNPI INDIVIDUAL
52267836MEDICAIDOHIO

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: 4/28/2024

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