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DERMA GLOW MED SPA CORP
NPI 1043054497
General Practice in Fairview Park, OH

Active since June 20, 2024
22237 LORAIN RD, FAIRVIEW PARK, OH 44126(440) 641-1406 Get Directions Write a Review

NPPES record last updated: June 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Derma Glow Med Spa Corp NPPES

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

DERMA GLOW MED SPA CORP (NPI 1043054497) is a healthcare organization registered as a general practice in Fairview Park, Ohio and active in the NPI registry since June 2024. The organization lists Nina Kazemi Shojayi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043054497
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDERMA GLOW MED SPA CORP
Location Address22237 LORAIN RDFairview Park, OH 44126-3315
Mailing Address22237 Lorain RdFairview Park, OH 44126-3315 · (440) 641-1406
Phone(440) 641-1406
Organization SubpartNo
Authorized OfficialNina Kazemi ShojayiMedical Director · (440) 641-1406
Enumeration DateJune 20, 2024
Last NPPES UpdateJune 30, 20242 updates tracked since enumeration
NPPES CertifiedJune 30, 2024
✔ NPI 1043054497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
22237 LORAIN RD, Fairview Park, OH 44126
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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 SINGLE SPECIALTY GROUP

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 Derma Glow Med Spa Corp's NPI number?

The NPI number for Derma Glow Med Spa Corp is 1043054497. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Derma Glow Med Spa Corp located?

Derma Glow Med Spa Corp is located at 22237 Lorain Rd, Fairview Park, OH 44126. The listed phone number is (440) 641-1406.

What is Derma Glow Med Spa Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Derma Glow Med Spa Corp was last updated on June 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.