Provider Type Icon

NORTHCOAST DERMATOLOGY ASSOCIATES INC. NPI 1750347480


NPI Information

NPI: 1750347480
Provider Name: NORTHCOAST DERMATOLOGY ASSOCIATES, INC.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 36D0689722

Address:
6701 ROCKSIDE RD
SUITE 330
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 524-4009
Get Directions

NORTHCOAST DERMATOLOGY ASSOCIATES, INC. is a dermatology in Independence, 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. NORTHCOAST DERMATOLOGY ASSOCIATES, INC. NPI is 1750347480. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6701 ROCKSIDE RD
SUITE 330
INDEPENDENCE, OH
ZIP 44131-358
Phone: (216) 524-4009
Fax: (216) 524-7933

The provider's authorized official is Connie D Sutter .
The authorized official title is President and has the following contact phone number (216) 524-4009.

The CLIA number assigned to this NPI record is 36D0689722 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 11/9/2007.


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

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
10271423MEDICAIDOHIO
20289727MEDICAIDOHIO
39284651MEDICARE PINOHIO
4CD6030OTHEROHIORAILROAD MEDICARE SAG
5CC5264OTHEROHIORAILROAD MEDICARE-INDEP
69284652MEDICARE PINOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.