DR. RENUKA DIWAN (NPI# 1477636850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477636850 |
| Entity Type | Individual |
| Full Name | DR. RENUKA DIWAN |
| Credential | M.D. |
| Practice Address |
29101 Health Campus Dr Suite 300 Westlake OH 44145-5270 |
| Mailing Address |
30855 Riviera Ln Westlake OH 44145-1785 |
| Practice Telephone | 4408719832 |
| Practice Fax Number | 4408710816 |
| Mailing Telephone | 4408719832 |
| Mailing Fax Number | 4408710816 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
35.050695 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
29101 HEALTH CAMPUS DR SUITE 300 |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302721 | Curtis Major Lockhart | Surgery | 29101 Health Campus Dr, Building 2 Suite 155, Westlake, OH 44145-5270 | 2005-08-03 |
| 1659626794 | Troy A Pesek | Optometrist | 29101 Health Campus Dr, Suite 380, Westlake, OH 44145-5270 | 2012-07-15 |
| 1457639239 | Beth E Lin | Optometrist | 29101 Health Campus Dr, Suite 340, Westlake, OH 44145-5270 | 2011-07-28 |
| 1942503909 | Westshore Primary Care Assoc., Inc. | Obstetrics & Gynecology | 29101 Health Campus Dr, Suite 250, Westlake, OH 44145-5270 | 2010-12-14 |
| 1497088694 | Tracy L. Marr | Audiologist | 29101 Health Campus Dr, Suite 290, Westlake, OH 44145-5270 | 2009-09-08 |
| 1487897815 | Joseph J Ross Md Inc | Ophthalmology | 29101 Health Campus Dr, Suite 380, Westlake, OH 44145-5270 | 2009-04-15 |
| 1255579934 | Westlake Hearing & Speech Clinic, Inc. | Clinic/Center | 29101 Health Campus Dr, Suite 290, Westlake, OH 44145-5270 | 2009-02-03 |
| 1144484445 | Amani Munshi | Surgery | 29101 Health Campus Dr, Building 2, Suite 450, Westlake, OH 44145-5270 | 2008-07-15 |
| 1912169558 | Envision Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 29101 Health Campus Dr, Suite 380, Westlake, OH 44145-5270 | 2008-06-25 |
| 1245409374 | Pandrangi Plastic Surgery Inc. | Case Management | 29101 Health Campus Dr, Building 2, Suite #250, Westlake, OH 44145-5270 | 2008-02-22 |
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| 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 | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689973638 | Apex Dermatology and Skin Surgery Center LLC | Dermatology | 7580 Auburn Road, Suite 301, Tripoint Medical Center, Physician Pavillion, Painesville, OH 44077 | 2011-03-16 |
| 1235442211 | Dermatology & Surgery of Southern Ohio, Inc. | Dermatology | 7132 Cincinnati Dayton Rd, Suite 200, Liberty Townshp, OH 45069-1775 | 2010-07-20 |
| 1619070224 | West Ohio Dermatology, Inc. | Dermatology | 750 W High St Ste 300, Lima, OH 45801-2967 | 2006-09-07 |
| 1912910803 | Harry Michael Humeniuk | Dermatology | 4935 Harroun Rd, Sylvania, OH 43560-2107 | 2006-08-14 |
| 1891783494 | Henry Michael Duke | Dermatology | 6210 N Main St, Dayton, OH 45415-3111 | 2005-10-10 |
| 1952307324 | Jennifer L Popovsky | Dermatology | 1133 Medina Rd Ste 100, Medina, OH 44256-5913 | 2005-06-21 |
| 1356884837 | Bravia Dermatology Group, LLC | Dermatology | 2000 Regency Ct, Suite #201, Toledo, OH 43623-3090 | 2016-12-01 |
| 1932592698 | Allied Dermatology and Skin Surgery, LLC | Dermatology | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2015-03-05 |
| 1205104601 | Dermatologic Surgery Center of Northeast Ohio Inc | Dermatology | 1133 Medina Rd, Suite 100, Medina, OH 44256-0000 | 2011-12-13 |
| 1508197112 | Ohio Skin Cancer Institute LLC | Dermatology | 602 Morrison Rd, Gahanna, OH 43230-5342 | 2010-01-21 |
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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.