DERMATOLOGY LASER SURGERY CENTER INC (NPI# 1598982704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598982704 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY LASER SURGERY CENTER INC |
| Other Organization Name | DR PALMER |
| Practice Address |
6720 Loop Rd Centerville OH 45459-2161 |
| Mailing Address |
3723 Hauck Rd Cincinnati OH 45241 |
| Practice Telephone | 9374334922 |
| Practice Fax Number | 9374336520 |
| Mailing Telephone | 5137698346 |
| Mailing Fax Number | 9374336520 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | GARY D PALMER (MEDICAL PRESIDENT) |
| Authorized Official Telephone | 9374334922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35043176 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDIGAP NUMBER | DE181759 | 01 |
| OH | MEDICAL MUTUAL | 402741848001 | 01 |
| OH | ANTHEM | 15317 | 01 |
| Other Name | Type Code |
|---|---|
| dr palmer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619096708 | Dermatology Laser Surgery Center Inc | Dermatology | 6720 Loop Rd, Centerville Finance, OH 45459-2161 | 2007-03-28 |
| Street Address |
6720 LOOP RD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689117 | James W Bean | Otolaryngology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| 1679923197 | Forefront Dermatology, S.c. | Dermatology | 6720 Loop Rd, Centerville, OH 45459 | 2016-06-15 |
| 1023138492 | Dermatology and Laser Surgery Center Inc | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2007-03-30 |
| 1174652069 | Lauren Darlene Nevins | Physician Assistant | 6720 Loop Rd, Centerville, OH 45459-2161 | 2007-03-05 |
| 1134124563 | Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| 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 |
|---|---|---|---|---|
| 1629396841 | Integrated Dermatology of Bountiful LLC | Dermatology | 1222 W Legacy Crossing Blvd Ste 200, Centerville, UT 84014-5560 | 2010-05-12 |
| 1821191271 | William Harry Abildgaard Jr. | Dermatology | 400 N Main St Ste D, Centerville, OH 45459-4424 | 2006-09-07 |
| 1336132950 | Patricia A Dickerson | Dermatology | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 | 2005-08-30 |
| 1679923197 | Forefront Dermatology, S.c. | Dermatology | 6720 Loop Rd, Centerville, OH 45459 | 2016-06-15 |
| 1962795302 | Dermatology & Aesthetic Care LLC | Dermatology | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 | 2011-05-18 |
| 1316056567 | Eugene Conte | Dermatology | 8940 Kingsridge Dr, Ste 104, Centerville, OH 45458-1632 | 2006-08-30 |
| 1215041041 | Patricia A. Dickerson Md | Dermatology | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 | 2006-08-18 |
| 1760491401 | Advanced Dermatology of Ohio, Inc | Dermatology | 8940 Kingsridge Dr, Ste 104, Centerville, OH 45458-1632 | 2006-08-05 |
| 1356359517 | Karl K Kellawan II | Dermatology | 400 N Main St, Suite D, Centerville, OH 45459-4489 | 2006-08-04 |
| 1114994068 | Barbara Baughman Cortez | Dermatology | 273 Regency Ridge Dr, Centerville, OH 45459-4221 | 2006-02-28 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.