DERMATOLOGY AND LASER SURGERY CENTER INC (NPI# 1023138492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023138492 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY AND LASER SURGERY CENTER INC |
| Other Organization Name | DR PALMER |
| Practice Address |
6720 Loop Rd Centerville OH 45459-2161 |
| Practice Telephone | 9374334922 |
| Practice Fax Number | 9374336520 |
| Mailing Telephone | 9374334922 |
| Mailing Fax Number | 9374336520 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | DR. GARY D PALMER (MEDICAL DOCTOR PRES.) |
| Authorized Official Telephone | 9374334922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35043172 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDIGAP PROVIDER NUMBER | DE181759 | 01 |
| OH | MEDICAL MUTUAL PROVIDER | 402741848001 | 01 |
| Other Name | Type Code |
|---|---|
| DR PALMER | Doing Business As Name - Organization |
| Street Address |
6720 LOOP RD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689117 | James W Bean | Otolaryngology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| 1679923197 | Forefront Dermatology, S.c. | Dermatology | 6720 Loop Rd, Centerville, OH 45459 | 2016-06-15 |
| 1598982704 | Dermatology Laser Surgery Center Inc | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2007-04-19 |
| 1174652069 | Lauren Darlene Nevins | Physician Assistant | 6720 Loop Rd, Centerville, OH 45459-2161 | 2007-03-05 |
| 1134124563 | Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183059 | Forefront Dermatology, S.c. | Dermatology | 400 N Main St, Suite D, Centerville, OH 45459 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871018325 | Beautifully Scarred,llc | Dermatology | 6924 Spring Valley Dr Ste 160, Holland, OH 43528-9482 | 2017-08-06 |
| 1992228183 | Qiana Depp | Dermatology | 6924 Spring Valley Dr # 160, Holland, OH 43528-9482 | 2017-07-20 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1619059516 | Thomas P Blodgett | Dermatology | 39 Hidden Valley Dr, Bidwell, OH 45614-9591 | 2006-10-19 |
| 1336170851 | Doreen Dupont | Dermatology | 545 Metro Place South, Suite 100, Dublin, OH 43017 | 2006-07-05 |
| 1437147030 | Martha A Hickmann | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409 | 2005-10-10 |
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 1114928041 | Kirsten Trotter Lynch | Dermatology | 3737 Park East Dr, Suite 109, Beachwood, OH 44122-4347 | 2005-08-02 |
| 1750852620 | Alexandra Rae Buehrle | Dermatology | 9485 Mentor Ave Ste 210, Mentor, OH 44060-8723 | 2018-12-17 |
| 1669859047 | Forefront Dermatology, S.c. | Dermatology | 1830 Bethel Rd, Suite C, Columbus, OH 43220 | 2015-05-05 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.