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ASSOCIATES IN DERMATOLOGY INC. NPI 1396852133


NPI Information

NPI: 1396852133
Provider Name: ASSOCIATES IN DERMATOLOGY, INC.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 36D1039033

Address:
26908 DETROIT RD
SUITE 103
WESTLAKE, OH
ZIP 44145
Phone: (440) 482-8323
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ASSOCIATES IN DERMATOLOGY, INC. is a dermatology in Westlake, OH. The provider is 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. ASSOCIATES IN DERMATOLOGY, INC. NPI is 1396852133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26908 DETROIT RD
SUITE 103
WESTLAKE, OH
ZIP 44145-398
Phone: (440) 482-8323
Fax: (440) 808-1718

The provider's authorized official is Paul G Hazen .
The authorized official title is Physician/partner and has the following contact phone number (440) 482-8323.

The CLIA number assigned to this NPI record is 36D1039033 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 1/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes
2207ND0900XDermatologyDermatopathologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12350370MEDICAIDOHIO
20466339MEDICAIDOHIO
30785995MEDICAIDOHIO
42253654MEDICAIDOHIO
50356092MEDICAIDOHIO
60400551MEDICAIDOHIO
70204540MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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