ALLIED DERMATOLOGY AND SKIN SURGERY, LLC (NPI# 1932592698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932592698 |
| Entity Type | Organization |
| Organization Name | ALLIED DERMATOLOGY AND SKIN SURGERY, LLC |
| Practice Address |
3624 W Market St Ste 101 Fairlawn OH 44333-4510 |
| Practice Telephone | 3306650555 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | JUSTIN WOODHOUSE (PARTNER) |
| Authorized Official Telephone | 3306650555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5915 Landerbrook Dr Ste 120, Mayfield Hts, OH 441244034 | 2163823806 | |
| 9485 Mentor Ave Ste 102, Mentor, OH 440608722 | 4402665500 |
| Street Address |
3624 W MARKET ST STE 101 |
| City | FAIRLAWN |
| State | OH |
| Zip Code | 44333-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043315666 | Ann R Kooken | Dermatology | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2006-09-14 |
| 1831638121 | Stefanie Nicole Singh | Nurse Practitioner | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2017-02-20 |
| 1982044830 | Angela Funovits | Dermatology | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2013-06-25 |
| 1376824979 | Jill Marie Warner | Nurse Practitioner | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| 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 |
|---|---|---|---|---|
| 1134451446 | Akron Dermatology Associates Inc | Dermatology | 3085 W Market St Ste 102, Fairlawn, OH 44333-3620 | 2010-02-11 |
| 1043315666 | Ann R Kooken | Dermatology | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2006-09-14 |
| 1275503724 | Valerie W. Fuller | Dermatology | 55 Merz Blvd., Ste A, Fairlawn, OH 44333 | 2006-01-26 |
| 1174517932 | Gary D Lichten | Dermatology | 3624 W Market St, Fairlawn, OH 44333-4510 | 2005-09-08 |
| 1982044830 | Angela Funovits | Dermatology | 3624 W Market St Ste 101, Fairlawn, OH 44333-4510 | 2013-06-25 |
| 1104847334 | Allison J Moosally | Dermatology | 3624 W Market St, Suite 101, Fairlawn, OH 44333-4510 | 2006-07-22 |
| 1215991393 | James F Libecco | Dermatology | 3624 W Market St, Fairlawn, OH 44333-4510 | 2006-04-14 |
| 1609842376 | Barry Charles Lamkin | Dermatology | 3624 W Market St, Fairlawn, OH 44333-4510 | 2006-02-23 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.