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PREMIER DERMATOLOGY
NPI 1003146721
Dermatology - Dermatopathology in Lyndhurst, OH

Active since December 31, 2009CLIA 36D2003805 · Certificate of Compliance
29001 CEDAR RD, SUITE 203, LYNDHURST, OH 44124(440) 684-9933 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER DERMATOLOGY (NPI 1003146721) is a healthcare organization registered as a dermatopathology in Lyndhurst, Ohio and active in the NPI registry since December 2009. The organization holds a CLIA Certificate of Compliance certificate valid through October 21, 2026 and lists Janet Wieselthier, Owner, as its authorized official.

NPPES Registry Identity

NPI1003146721
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NamePREMIER DERMATOLOGY
Location Address29001 CEDAR RD, SUITE 203Lyndhurst, OH 44124-4062
Mailing Address29001 Cedar Rd, Suite 203Lyndhurst, OH 44124-4062 · (440) 684-9933
Phone(440) 684-9933
Organization SubpartNo
Authorized OfficialJanet WieselthierOwner · (440) 684-9953
Enumeration DateDecember 31, 2009
✔ NPI 1003146721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in OH · 35.070376
Definition

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.

29001 CEDAR RD, Lyndhurst, OH 44124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 36D2003805

Premier Dermatology LLC · Lyndhurst, OH
Active · expires Oct 21, 2026
CLIA Number36D2003805
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDr. Janet S. Wieselthier
Laboratory Phone(440) 684-9933
Laboratory LocationPremier Dermatology LLC29001 Cedar Rd Ste 615, Lyndhurst, OH 44124
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHARINE S. ROCKMAN D.D.S.
Dentist (General Practice)
29001 CEDAR RD, STE#675
LYNDHURST, OH 44124
Cuyahoga County (440) 995-1961
KATHLEEN T. SPILAR M.A.
Audiologist
29001 CEDAR RD, SUITE 203
LYNDHURST, OH 44124
Cuyahoga County (440) 684-9970
DR. REBECCA BIETTA DAVIS D.D.S., M.S.D.
Dentist (Periodontics)
29001 CEDAR RD, SUITE 450
LYNDHURST, OH 44124
Cuyahoga County (440) 461-3400
DR. RALPH F MONDORA D.D.S.
Dentist (General Practice)
29001 CEDAR RD, SUITE 320
LYNDHURST, OH 44124
Cuyahoga County (440) 461-7115
DR. JAY C RESNICK DDS
Dentist (General Practice)
29001 CEDAR RD, SUITE 660
LYNDHURST, OH 44124
Cuyahoga County (440) 461-8200
MARC A ZECHEL M.D.,D.D.S.
Dentist (Oral and Maxillofacial Surgery)
29001 CEDAR RD, SUITE 680
CLEVELAND, OH 44124
Cuyahoga County (440) 461-1157
DR. JUDITH A EVANS MD
Obstetrics & Gynecology
29001 CEDAR RD, STE 518
LYNDHURST, OH 44124
Cuyahoga County (440) 646-8200
DR. JAMES BANGAYAN FOOT & ANKLE SPECIALTY
Durable Medical Equipment & Medical Supplies
29001 CEDAR RD, SUITE 309
LYNDHURST, OH 44124
Cuyahoga County (440) 565-7294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Dermatology's NPI number?

The NPI number for Premier Dermatology is 1003146721. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Premier Dermatology located?

Premier Dermatology is located at 29001 Cedar Rd Suite 203, Lyndhurst, OH 44124. The listed phone number is (440) 684-9933.

What is Premier Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Does Premier Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D2003805) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Dermatology was last updated on December 31, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.