Dermatologic Surgery Center Of Northeast Ohio Inc

LBN: Dermatologic Surgery Center Of Northeast Ohio Inc
Dermatologic Surgery Center Of Northeast Ohio Inc is an health care organization with primary practice located at 1133 Medina Rd Suite 100, Medina OH 44256-0000. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Dermatologic Surgery Center Of Northeast Ohio Inc can be contacted via phone (330) 238-4350, or through Popovsky, Jennifer via phone (330) 239-4350.

Contact Information

Primary practice address
1133 Medina Rd Suite 100 Medina OH 44256-0000
Phone: (330) 238-4350
Fax: (330) 239-4584
Website:
Map and Directions
Authorized official contact:
Name: Popovsky, Jennifer Doctor of Medicine (MD)
Phone: (330) 239-4350

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35076146P Ohio

Profile Details

NPI number 1205104601
LBN Legal business name Dermatologic Surgery Center Of Northeast Ohio Inc
DBA Doing business as
Authorized official Popovsky, Jennifer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Feb 27th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205104601 NPPES
Ohio MEDICAID 2190785

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