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BOARD CERTIFIED DERMATOPATHOLOGY INC NPI 1902963358


NPI Information

NPI: 1902963358
Provider Name: BOARD CERTIFIED DERMATOPATHOLOGY, INC

Other Name: BCD, INC

Classification: Pathology - 207ZD0900X
Entity Type: Organization

Specialization: Dermatopathology

CLIA Number: 36D1013069

Address:
5208 MAHONING AVE
SUITE 208
YOUNGSTOWN, OH
ZIP 44515
Phone: (330) 799-9270
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BOARD CERTIFIED DERMATOPATHOLOGY, INC is a dermatopathology pathology in Youngstown, OH. The provider is a dermatopathologist is an expert in diagnosing and monitoring 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 light microscopy, electron microscopy, and fluorescence microscopy. BOARD CERTIFIED DERMATOPATHOLOGY, INC NPI is 1902963358. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Bcd, Inc.

The provider's business location address is:

5208 MAHONING AVE
SUITE 208
YOUNGSTOWN, OH
ZIP 44515-858
Phone: (330) 799-9270
Fax: (330) 799-2295

The provider's authorized official is Pamela Marie Guerriere-kovach .
The authorized official title is Doctor and has the following contact phone number (330) 270-1832.

The CLIA number assigned to this NPI record is 36D1013069 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 3/10/2023.


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
1207ZD0900XPathologyDermatopathologyME84498FLORIDANo
2207ZD0900XPathologyDermatopathologyMD418830PENNSYLVANIANo
3207ZD0900XPathologyDermatopathology0101231016VIRGINIANo
4207ZD0900XPathologyDermatopathology20881WEST VIRGINIANo
5207ZD0900XPathologyDermatopathology35074029OHIOYes

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
1000000282926OTHEROHIOANTHEM BCBS PROVIDER #
22407818MEDICAIDOHIO
36703070000MEDICAIDWEST VIRGINIA
4010128099MEDICAIDVIRGINIA

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.