BOARD CERTIFIED DERMATOPATHOLOGY INC NPI 1902963358

NPI Information

  • NPI: 1902963358
  • Provider Name: BOARD CERTIFIED DERMATOPATHOLOGY, INC
  • Classification: Pathology - 207ZD0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Other Name: BCD, INC
  • CLIA Number: 36D1013069
  • Address: 5208 MAHONING AVE
    SUITE 208
    YOUNGSTOWN, OH
    ZIP 44515
  • Phone: (330) 799-9270

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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