GEORGE C SKANDAMIS (NPI# 1366561292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366561292 |
| Entity Type | Individual |
| Full Name | GEORGE C SKANDAMIS |
| Credential | MD |
| Practice Address |
425 Metro Pl N Suite 195 Dublin OH 43017-5325 |
| Practice Telephone | 6146026455 |
| Practice Fax Number | 6142599944 |
| Mailing Telephone | 6146026455 |
| Mailing Fax Number | 6142599944 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35.091957 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 430184294 | MI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CONTROLLED SUBSTANCE LICE | 5315018697 | 01 |
| OH | 2849725 | 05 |
| Street Address |
425 METRO PL N SUITE 195 |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-5325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740319870 | Gabriel Krenitsky | Emergency Medicine | 425 Metro Pl N, Suite 175, Dublin, OH 43017-5325 | 2007-03-05 |
| 1578805677 | Universal Dermatology, Ltd | Specialist | 425 Metro Pl N, Suite 195, Dublin, OH 43017-5325 | 2013-03-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1336170851 | Doreen Dupont | Dermatology | 545 Metro Place South, Suite 100, Dublin, OH 43017 | 2006-07-05 |
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 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 |
| 1437147030 | Martha A Hickmann | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409 | 2005-10-10 |
| 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 |
| 1891183059 | Forefront Dermatology, S.c. | Dermatology | 400 N Main St, Suite D, Centerville, OH 45459 | 2014-12-22 |
| 1508206921 | Miesha Merati | Dermatology | 27100 Chardon Rd, Richmond Heights, OH 44143-1116 | 2013-06-29 |
| 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.