OPTIMA DERMATOLOGY LLC NPI 1831187764

NPI Details

OPTIMA DERMATOLOGY LLC is a dermatology in Boardman, 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. OPTIMA DERMATOLOGY LLC NPI is 1831187764. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Advanced Dermatology And Skin Cancer Center Llc.

The provider's business location address is:

987 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512-222
Phone: (330) 965-8760
Fax: (330) 965-9325

The provider's authorized official is John Bernat .
The authorized official title is Authorized Official and has the following contact phone number (330) 965-8760.

The CLIA number assigned to this NPI record is 36D2244902 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 7/1/2024.

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: