Eastside Dermatology, Inc. in Columbus - Procedural Dermatology
Eastside Dermatology, Inc. - NPI 1063564664
Eastside Dermatology, Inc. is a Procedural Dermatology in Columbus, Ohio. Eastside Dermatology, Inc. practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Eastside Dermatology, Inc. is 1063564664. The last update date is 2008-10-16.
Eastside Dermatology, Inc.'s current location address is 150 Taylor Station Rd, Columbus, Ohio. You can contact this provider via phone number 6148633222 and fax number 6148634450. The mailing address for Eastside Dermatology, Inc. is 150 Taylor Station Rd, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Dermatology, Inc. |
|---|---|
| Address | 150 Taylor Station Rd, Columbus, Ohio |
| Phone Number | 6148633222 |
| Fax Number | 6148634450 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Parks J Alan |
| Credentials | MD |
| Telephone Number | 6148633222 |
NPI Number Detail
| NPI Number | 1063564664 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2008-10-16 |
Provider Mailing Address Detail
| Address | 150 Taylor Station Rd |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 43213 |
| Phone Number | 6148633222 |
| Fax Number | 6148634450 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 35054686 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 214662 | OH | STEPHANIE COTELL ANTHEM I | |
| 1215972484 | OH | YAHNA T SMITH CNP NPI | |
| 1598751653 | OH | ALAN PARKS NPI | |
| 118991 | OH | ALAN PARKS ANTHEM ID | |
| 665856 | OH | -- | |
| 1922093459 | OH | STEPHANIE COTELL NPI | |
| 2285218 | OH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Eastside Dermatology, Inc. by the Centers for Medicare & Medicaid Services?
The Eastside Dermatology, Inc. has been issued the NPI (National Provider Identifier) 1063564664. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Eastside Dermatology, Inc. is located?
The Eastside Dermatology, Inc. is situated at the following address: 150 Taylor Station Rd, Columbus, OH, 43213.
What is Eastside Dermatology, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eastside Dermatology, Inc. is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.
On what date did Eastside Dermatology, Inc. receive its 1063564664 assignment from the Centers for Medicare & Medicaid Services?
The Eastside Dermatology, Inc. was assigned its 1063564664 on 2007-01-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Eastside Dermatology, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eastside Dermatology, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-16.
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