DIYA F. MUTASIM (NPI# 1992759377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992759377 |
| Entity Type | Individual |
| Full Name | DIYA F. MUTASIM |
| Credential | M. D. |
| Practice Address |
222 Piedmont Ave Cincinnati OH 45219-4231 |
| Practice Telephone | 5134757630 |
| Practice Fax Number | 5134757636 |
| Mailing Telephone | 5134757630 |
| Mailing Fax Number | 5134757636 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 35.059745 | OH | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
35.059745 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE RR | 070004743 | 01 |
| OH | 0781882 | 05 | |
| OH | RR MEDICARE | 070004743 | 01 |
| KY | 64869787 | 05 | |
| IN | 200038080A | 05 |
| Street Address |
222 PIEDMONT AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829514 | University Orthopaedic Consultants of Cincinnti, Inc. | Physician Assistant | 222 Piedmont Ave, Ste 2200, Cincinnati, OH 45219-4238 | 2005-05-31 |
| 1235775255 | Courtney Jo Bockrath | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2019-11-25 |
| 1124593058 | Cindy Daggitt | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-10-08 |
| 1831683226 | Lauren Rankine | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-06-19 |
| 1861996423 | Emily Thitoff | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-03-20 |
| 1174026025 | Amanda Burton | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-03-16 |
| 1629579610 | Katherine Christian Romanowicz | Nurse Practitioner | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2018-02-24 |
| 1063929701 | Blair Mcchesney | Registered Nurse | 222 Piedmont Ave, Cincinnati, OH 45219 | 2018-01-03 |
| 1871028357 | Raquel Keren Zemtsov | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-21 |
| 1053844738 | Forest Weir | Student in an Organized Health Care Education/Training Program | 222 Piedmont Ave, Suite 5200, Cincinnati, OH 45219-4231 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780613422 | Dena M Elkeeb | Dermatology | 4101 Edwards Rd Fl 2, Cincinnati, OH 45209-1678 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174652325 | Midwest Dermatology, Laser & Vein | Dermatology | 3006 N Co Road 25-a, Troy, OH 45373-1373 | 2007-03-05 |
| 1811950751 | Neera Agarwal-antal | Dermatology | 1325 Corporate Dr, Suite A, Hudson, OH 44236-4432 | 2006-04-11 |
| 1659350247 | Jonathan Bass | Dermatology | 3737 Park East Drive, Suite #202, Beachwood, OH 44122 | 2006-01-11 |
| 1962484204 | John C. Moad | Dermatology | 7835 Paragon Road, Dayton, OH 45459 | 2005-11-14 |
| 1922093855 | Adam B Hessel | Dermatology | 5720 Blazer Parkway, Suite B, Dublin, OH 43017 | 2005-09-16 |
| 1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
| 1417210261 | Nicole Rachel Dominiak | Dermatology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2012-06-18 |
| 1003146721 | Premier Dermatology | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2009-12-31 |
| 1427234798 | University Hospitals Medical Group, Inc. | Dermatology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2008-01-16 |
| 1497894950 | Arthur E. Pellegrini, M.d. LLC | Dermatology | 660 London Ave, Suite A, Marysville, OH 43040-1515 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on DIYA F. MUTASIM.
| 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.