ELISABETH TRACEY (NPI# 1134575269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134575269 |
| Entity Type | Individual |
| Full Name | ELISABETH TRACEY |
| Credential | MD |
| Practice Address |
4350 Crocker Rd Ste 300 Westlake OH 44145-6329 |
| Mailing Address |
9500 Euclid Ave Cleveland OH 44195-0001 |
| Practice Telephone | 4404430423 |
| Practice Fax Number | 4404430414 |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35.140228 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174043228 | Elisabeth Lynne Tracey | Student in an Organized Health Care Education/Training Program | 983280 Nebraska Medical Ctr, Omaha, NE 68198-3280 | 2017-06-20 |
| Street Address |
4350 CROCKER RD STE 300 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033474598 | Aziza A Wahby | Dermatology | 4350 Crocker Rd Ste 300, Westlake, OH 44145 | 2012-07-11 |
| 1073969051 | Alexa Rae Stecker | Dermatology | 4350 Crocker Rd Ste 300, Westlake, OH 44145-6329 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033474598 | Aziza A Wahby | Dermatology | 4350 Crocker Rd Ste 300, Westlake, OH 44145 | 2012-07-11 |
| 1457399305 | Louis Stephen Kish | Dermatology | 26410 Center Ridge Rd, Westlake, OH 44145-4067 | 2006-06-03 |
| 1659320398 | Kathleen A Mulligan | Dermatology | 1991 Crocker Rd, Suite 310, Westlake, OH 44145-6969 | 2006-05-09 |
| 1457336919 | James Francis Carney | Dermatology | 26908 Detroit Ave, Ste 103 Associates In Dermatology Inc, Westlake, OH 44145 | 2005-12-07 |
| 1073969051 | Alexa Rae Stecker | Dermatology | 4350 Crocker Rd Ste 300, Westlake, OH 44145-6329 | 2016-05-10 |
| 1043605173 | Mihir Minesh Shah | Dermatology | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2015-04-06 |
| 1730404831 | University Hospitals Medical Group, Inc | Dermatology | 950 Clague Rd, Building B, Suite 104, Westlake, OH 44145-1503 | 2010-03-31 |
| 1992030704 | Richard Assaf Dermatology, Inc. | Dermatology | 2001 Crocker Rd, Suite 150, Westlake, OH 44145-6966 | 2009-10-13 |
| 1760617500 | Mulligan Dermatology, Inc | Dermatology | 1991 Crocker Rd, Suite 310, Westlake, OH 44145-6969 | 2009-05-22 |
| 1841459724 | Brandie T Styron | Dermatology | 26908 Detroit Rd, Suite 103, Westlake, OH 44145-2398 | 2008-06-05 |
| Find all providers in WESTLAKE | ||||
Please comment or provide details below to improve the information on ELISABETH TRACEY.
| 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.