KENWOOD DERMATOLOGY (NPI# 1699228239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699228239 |
| Entity Type | Organization |
| Organization Name | KENWOOD DERMATOLOGY |
| Practice Address |
8250 Kenwood Crossing Way Suite 101 Cincinnati OH 45236-3668 |
| Mailing Address |
8250 Kenwood Crossing Way Ste 101 Cincinnati OH 45236-3669 |
| Practice Telephone | 5137455510 |
| Mailing Telephone | 5137455510 |
| Mailing Fax Number | 5137455515 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2018-10-20 |
| Authorized Official Name | KARA SHAH (PRESIDENT) |
| Authorized Official Telephone | 5137455510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
35.097237 | OH | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | 35.097237 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
8250 KENWOOD CROSSING WAY SUITE 101 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821073 | Terrence S Poole | Dentist | 8250 Kenwood Crossing Way, Suite 220, Cincinnati, OH 45236-3668 | 2005-06-16 |
| 1609324441 | Jennifer Kelch | Nurse Practitioner | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3668 | 2016-09-21 |
| 1730547571 | Kathleen Clifton | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2016-02-08 |
| 1871982819 | Terrence S Poole Dds LLC | Dentist | 8250 Kenwood Crossing Way, Suite 220, Cincinnati, OH 45236-3668 | 2015-01-14 |
| 1083904155 | Gregg Kottyan | Pediatrics | 8250 Kenwood Crossing Way, Suite 205, Cincinnati, OH 45236-3668 | 2011-04-11 |
| 1114258142 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Ste 101, Cincinnati, OH 45236 | 2010-01-14 |
| 1508190794 | Tri-state Pain Management Service Inc | Nurse Practitioner | 8250 Kenwood Crossing Way, Cincinnati, OH 45236-3668 | 2009-09-22 |
| 1932337771 | Shawn Jacob Bell | Dentist | 8250 Kenwood Crossing Way, Ste 220, Cincinnati, OH 45236-3668 | 2009-07-01 |
| 1326200205 | Your Md, LLC | Family Medicine | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3670 | 2008-07-01 |
| 1245434240 | Omdevasena Thirugnanam | Student in an Organized Health Care Education/Training Program | 8250 Kenwood Crossing Way, Suite 225, Cincinnati, OH 45236-3670 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| 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 |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1528401213 | Jacqueline Fisher | Dermatology | 8000 5 Mile Rd Ste 260, Cincinnati, OH 45230-2163 | 2013-04-11 |
| 1265778104 | Louis Ernest Valker | Dermatology | 6375 Shawnee Pines Dr, Cincinnati, OH 45243-3153 | 2012-12-21 |
| 1720344575 | Veronica Anne Russo | Dermatology | 4101 Edwards Rd Ste 200, Cincinnati, OH 45209-1672 | 2012-04-05 |
| 1366771610 | Donald J Blaney | Dermatology | 5791 Cleves Warsaw Pike, Cincinnati, OH 45233 | 2009-12-16 |
| 1518100718 | Anne Louise Housholder | Dermatology | 3590 Lucille Drive, Cincinnati, OH 45213 | 2009-04-17 |
| 1609080837 | Jennifer Cafardi | Dermatology | 2123 Auburn Ave Ste 210, Cincinnati, OH 45219 | 2007-05-09 |
| 1851422026 | Dawn I Greenwald | Dermatology | 2123 Auburn Ave # 210, Cincinnati, OH 45219-2906 | 2007-03-08 |
| 1922139195 | Debra S Anderson | Dermatology | 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 | 2007-03-08 |
| 1164585675 | Wayne E. Bauman, M.d. | Dermatology | 10496 Montgomery Rd Suite 201, Cincinnati, OH 45242 | 2006-12-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on KENWOOD DERMATOLOGY.
| 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.