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DERMATOLOGY LASER SURGERY CENTER INC. NPI 1578682373


NPI Information

NPI: 1578682373
Provider Name: DERMATOLOGY LASER SURGERY CENTER INC.

Doing Business As: DR. PALMER

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
5 WENGER ROAD
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 832-7555
Get Directions

DERMATOLOGY LASER SURGERY CENTER INC. is a procedural dermatology dermatology in Englewood, OH. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DERMATOLOGY LASER SURGERY CENTER INC. NPI is 1578682373. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dr. Palmer.

The provider's business location address is:

5 WENGER ROAD
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 832-7555
Fax: (937) 830-2227

The provider's authorized official is Gary D Palmer .
The authorized official title is Medical Doctor Pres. and has the following contact phone number (937) 433-4922.

The enumeration date for this NPI number is 3/29/2007 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
1207NS0135XDermatologyProcedural Dermatology35043172OHIOYes

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
1402741848001OTHEROHIOMEDICAL MUTUAL
2DE181759OTHEROHIOMEDIGAP NUMBER

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: 11/14/2023

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