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DERMATOLOGY & SURGERY OF SOUTHERN OHIO INC. NPI 1952349466


NPI Information

NPI: 1952349466
Provider Name: DERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 36D0894962

Address:
1213 NILLES RD
FAIRFIELD, OH
ZIP 45014
Phone: (513) 858-6900
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DERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC. is a dermatology in Fairfield, 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. DERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC. NPI is 1952349466. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1213 NILLES RD
FAIRFIELD, OH
ZIP 45014-911
Phone: (513) 858-6900
Fax: (513) 858-6903

The provider's authorized official is Joni Proft .
The authorized official title is Office Administrator and has the following contact phone number (513) 858-6900.

The CLIA number assigned to this NPI record is 36D0894962 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 7/20/2010.


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
1207ND0101XDermatologyMOHS-Micrographic Surgery35060409OHIONo
2207ND0900XDermatologyDermatopathology35060409OHIONo
3207NP0225XDermatologyPediatric Dermatology35060409OHIONo
4207NS0135XDermatologyProcedural Dermatology35060409OHIONo
5207N00000XDermatology35060409OHIOYes

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
1DE9270061MEDICARE ID-TYPE UNSPECIFIEDOHIO

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

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