GERALD MELVILLE PENN (NPI# 1073598132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073598132 |
| Entity Type | Individual |
| Full Name | GERALD MELVILLE PENN |
| Credential | M.D., PHD |
| Practice Address |
650 Shawan Falls Dr Dublin OH 43017-2100 |
| Practice Telephone | 6147641711 |
| Practice Fax Number | 6148892652 |
| Mailing Telephone | 6147641711 |
| Mailing Fax Number | 6148892652 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
35027499 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE GRP ID | 1351 | 01 |
| Street Address |
650 SHAWAN FALLS DR |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 1235515024 | Yange Zhang | Acupuncturist | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2015-08-04 |
| 1356537328 | Kathryn Tloczynski | Nurse Practitioner | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2007-09-24 |
| 1306056171 | Brett Robert Kockentiet | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2007-05-23 |
| 1073581443 | Sarah A. Landis | Physician Assistant | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2006-03-10 |
| 1932184090 | Affiliated Dermatology & Cosmetic Surgery Center, Inc | Dermatology | 650 Shawan Falls Dr, Suite 105, Dublin, OH 43017-2100 | 2005-12-13 |
| 1013992080 | Amy L Nutting | Physician Assistant | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-12-13 |
| 1982696894 | Affiliated Ambulatory Surgery Center LLC | Clinic/Center | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063460459 | Georgia Dermatology & Skin Cancer Center, LLC | Pathology | 2400 Bellevue Rd, 16 Erin Office Park, Dublin, GA 31021-2885 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963358 | Board Certified Dermatopathology, Inc | Pathology | 5208 Mahoning Ave, Suite 208, Youngstown, OH 44515-1858 | 2007-01-03 |
| 1245211770 | Hassan Nicholas Shamma | Pathology | 210a E Spring Valley Pike, Dayton, OH 45458-2653 | 2005-11-10 |
| 1831180827 | Shokat M Fatteh | Pathology | 8166 Market St, Suite D, Youngstown, OH 44512-6262 | 2005-10-31 |
| 1740664358 | Shira Ronen | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-3522 | 2015-07-13 |
| 1134475734 | Sri Krishna Chaitany Arudra | Pathology | 3000 Arlington Ave, Mail Stop 1068, Toledo, OH 43614-2595 | 2012-08-01 |
| 1366735599 | Cristina Deanne Stewart Cole | Pathology | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2011-05-20 |
| 1194982389 | Joshua A Weaver | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2008-05-16 |
| 1699942813 | Terrence Matthias Katona | Pathology | 9844 Redhill Dr, Cincinnati, OH 45242-5627 | 2008-05-15 |
| 1720103021 | Ailing Li | Pathology | 7730 First Pl Ste A, Oakwood Village, OH 44146-6720 | 2007-03-19 |
| 1578622841 | Jose A Plaza | Pathology | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
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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.