PARKER SKIN & AESTHETIC CLINIC INC. (NPI# 1609894575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609894575 |
| Entity Type | Organization |
| Organization Name | PARKER SKIN & AESTHETIC CLINIC INC. |
| Practice Address |
3733 Park East Dr Suite #104 Beachwood OH 44122-4338 |
| Mailing Address |
3737 Park East Dr Suite #109 Beachwood OH 44122-4347 |
| Practice Telephone | 2164647333 |
| Practice Fax Number | 2164642696 |
| Mailing Telephone | 2164647333 |
| Mailing Fax Number | 2164642696 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | DR. LYDIA PARKER (PRESIDENT) |
| Authorized Official Telephone | 2164647333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35-058810 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2081509 | 05 |
| Street Address |
3733 PARK EAST DR SUITE #104 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943606 | Julie Anne Hertzer | Pediatrics | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2005-09-22 |
| 1972904860 | The Parker Skin & Aesthetic Clinin | Nurse Practitioner | 3733 Park East Dr, Suite 104, Beachwood, OH 44122-4338 | 2014-09-10 |
| 1093059842 | Chelsea Cay Schmidt | Optometrist | 3733 Park East Dr, 104, Beachwood, OH 44122-4338 | 2012-11-18 |
| 1932415379 | Oscar Leopoldo Morey Vargas | Internal Medicine | 3733 Park East Dr, Beachwood, OH 44122-4338 | 2010-08-24 |
| 1871769869 | Podiatry Inc | Podiatrist | 3733 Park East Dr, Suite 240, Beachwood, OH 44122-4338 | 2008-04-30 |
| 1033394648 | Kelley Ann Muldoon Rieger | Nurse Practitioner | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2008-01-02 |
| 1104012889 | Rochelle Shiller | Occupational Therapist | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2007-09-17 |
| 1336359686 | Advantage Imaging, LLC | Radiology | 3733 Park East Dr, Suite 100, Beachwood, OH 44122-4338 | 2007-05-23 |
| 1184833808 | Arthur Lavin Md, Inc. | Pediatrics | 3733 Park East Dr, Suite 102, Beachwood, OH 44122-4338 | 2007-05-21 |
| 1518030683 | Celine Marie Burke | Nurse Practitioner | 3733 Park East Dr, Suite 105, Beachwood, OH 44122 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| 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 |
|---|---|---|---|---|
| 1114928041 | Kirsten Trotter Lynch | Dermatology | 3737 Park East Dr, Suite 109, Beachwood, OH 44122-4347 | 2005-08-02 |
| 1750472536 | Beno Michel | Dermatology | 23250 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5470 | 2006-09-27 |
| 1396836086 | Nina Petroff | Dermatology | 23250 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5470 | 2006-09-27 |
| 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 |
| 1336170851 | Doreen Dupont | Dermatology | 545 Metro Place South, Suite 100, Dublin, OH 43017 | 2006-07-05 |
| 1437147030 | Martha A Hickmann | Dermatology | 3025 Governors Place Blvd, Dayton, OH 45409 | 2005-10-10 |
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 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 |
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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.