Advanced Dermatology Of North Central Ohio Inc in Mansfield - Procedural Dermatology
Advanced Dermatology Of North Central Ohio Inc - NPI 1073528733
Advanced Dermatology Of North Central Ohio Inc is a Procedural Dermatology in Mansfield, Ohio. Advanced Dermatology Of North Central Ohio Inc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Advanced Dermatology Of North Central Ohio Inc is 1073528733. The last update date is 2012-08-21.
Advanced Dermatology Of North Central Ohio Inc's current location address is 770 Balgreen Dr., Mansfield, Ohio. You can contact this provider via phone number 4197561600 and fax number 4197751196. The mailing address for Advanced Dermatology Of North Central Ohio Inc is 770 Balgreen Dr., Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatology Of North Central Ohio Inc |
|---|---|
| Address | 770 Balgreen Dr., Mansfield, Ohio |
| Phone Number | 4197561600 |
| Fax Number | 4197751196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Ticoras John Christ |
| Credentials | M.D. |
| Telephone Number | 4197561600 |
NPI Number Detail
| NPI Number | 1073528733 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2012-08-21 |
Provider Mailing Address Detail
| Address | 770 Balgreen Dr. |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449064106 |
| Phone Number | 4197561600 |
| Fax Number | 4197751196 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2251316 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Advanced Dermatology Of North Central Ohio Inc by the Centers for Medicare & Medicaid Services?
The Advanced Dermatology Of North Central Ohio Inc has been assigned the NPI (National Provider Identifier) 1073528733. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Advanced Dermatology Of North Central Ohio Inc's facilities are situated?
The facilities of Advanced Dermatology Of North Central Ohio Inc are physically located at the following address: 770 Balgreen Dr., Mansfield, OH, 449064106.
What is Advanced Dermatology Of North Central Ohio Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Advanced Dermatology Of North Central Ohio Inc's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.
On what date was the 1073528733 assigned to Advanced Dermatology Of North Central Ohio Inc?
The Advanced Dermatology Of North Central Ohio Inc was issued its 1073528733 on 2006-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Advanced Dermatology Of North Central Ohio Inc most recently updated or revised?
The details related to Advanced Dermatology Of North Central Ohio Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-21.