WEST OHIO DERMATOLOGY, INC. (NPI# 1619070224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619070224 |
| Entity Type | Organization |
| Organization Name | WEST OHIO DERMATOLOGY, INC. |
| Practice Address |
750 W High St Ste 300 Lima OH 45801-2967 |
| Practice Telephone | 4192296781 |
| Practice Fax Number | 4192293490 |
| Mailing Telephone | 4192296781 |
| Mailing Fax Number | 4192293490 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | DR. MICHAEL R HEAPHY SR. (PRESIDENT) |
| Authorized Official Telephone | 4192296781 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
35040604 | OH | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
35040604 | OH | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 35040604 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0340321 | 05 |
| Street Address |
750 W HIGH ST STE 300 |
| City | LIMA |
| State | OH |
| Zip Code | 45801-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| 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 |
|---|---|---|---|---|
| 1295127371 | Alejandro Morales | Dermatology | 511 El Bucare, La Molina, Lima, LIMA 00012 | 2015-02-25 |
| 1104392679 | Gray Derm Pllc | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2018-10-22 |
| 1992229850 | Audrey H. Jones | Dermatology | 920 W Market St Ste 320, Lima, OH 45805-2777 | 2017-08-01 |
| 1831514025 | Bryan Gray | Dermatology | 525 N Eastown Rd Ste A, Lima, OH 45807-2268 | 2014-02-24 |
| 1528256914 | Jennifer J Breedlove | Dermatology | 1005 Bellefontaine Ave Ste 350, Lima, OH 45804-2885 | 2007-10-10 |
| 1821011057 | Michael Riley Heaphy Sr. | Dermatology | 750 W High St, Suite 300, Lima, OH 45801-2969 | 2006-07-26 |
| 1730101742 | William O Light | Dermatology | 1005 Bellefontaine Ave, Ste 225, Lima, OH 45804-2896 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1184263675 | Sunkiss Essentials LLC | Dermatology | 2926 State Rd Ste 369, Cuyahoga Falls, OH 44223-1244 | 2019-12-31 |
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1144737560 | Robert Brody Md Co | Dermatology | 3461 Warrensville Center Rd Ste 101, Shaker Heights, OH 44122-5227 | 2018-01-08 |
| 1366893752 | Kirsten Dickinson | Dermatology | Cleveland Clinic 9500 Euclin Ave, Cleveland, OH 44195-1009 | 2016-06-27 |
| 1649629692 | Megan Ashley Jones-sheets | Dermatology | 75 Metro Place North, Suite 195, Dublin, OH 43017 | 2016-06-10 |
| 1275982746 | Samantha N Barry | Dermatology | 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242-6858 | 2016-06-06 |
| 1720433592 | Nitin Tiwari | Dermatology | 4439 State Route 159 Ste G50, Chillicothe, OH 45601-7202 | 2016-04-29 |
| 1487008751 | Kiyanna Marie Williams | Dermatology | 2049 E 100th St A Building, Cleveland, OH 44195-1014 | 2016-04-22 |
| 1336502038 | Jacqueline Graham | Dermatology | 566 White Pond Dr Ste E, Akron, OH 44320-1116 | 2016-03-30 |
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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.