BRETT ROBERT KOCKENTIET (NPI# 1306056171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306056171 |
| Entity Type | Individual |
| Full Name | BRETT ROBERT KOCKENTIET |
| Credential | MD |
| 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 | 2007-05-23 |
| Last Update Date | 2009-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35.093291 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE GRP ID | 1351 | 01 |
| OH | RR MEDICARE PIN | 00744474 | 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 |
| 1073581443 | Sarah A. Landis | Physician Assistant | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2006-03-10 |
| 1073598132 | Gerald Melville Penn | Pathology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-12-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1649629692 | Megan Ashley Jones-sheets | Dermatology | 75 Metro Place North, Suite 195, Dublin, OH 43017 | 2016-06-10 |
| 1528405586 | Jessica V Hoy | Dermatology | 7450 Hospital Dr Ste 370, Dublin, OH 43016-9629 | 2013-05-31 |
| 1043455595 | Yang Shen | Dermatology | 5720 Blazer Pkwy, Dublin, OH 43017-3566 | 2008-12-12 |
| 1962552703 | Sandra Elizabeth Bendeck Rydell | Dermatology | 5300 Ironhorse Pkwy, # 371, Dublin, CA 94568-2043 | 2007-01-12 |
| 1366504656 | Dermatology and Cosmetic Surgery of Dublin, Inc | Dermatology | 6905 Hospital Drive Road, Suite 230, Dublin, OH 43016 | 2006-12-14 |
| 1568560456 | Buckeye Dermatology Inc | Dermatology | 5080 Bradenton Ave, Ste B, Dublin, OH 43017-3520 | 2006-09-21 |
| 1891805339 | Mary Beth Luca | Dermatology | 6740 Perimeter Dr Ste 100, Dublin, OH 43016-8074 | 2006-08-30 |
| 1003891052 | Michael P Conroy | Dermatology | 7450 Hospital Drive, Ste 370, Dublin, OH 43016-9624 | 2005-12-13 |
| 1558355693 | Jason Glen Arnold | Dermatology | 2400 Bellevue Rd Ste 21a, Dublin, GA 31021-2890 | 2005-09-06 |
| Find all providers in DUBLIN | ||||
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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.