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DERMATOLOGY WEST, LLC
NPI 1053521021
Clinic/Center in Westlake, OH

Active since May 22, 2007
26410 CENTER RIDGE RD, WESTLAKE, OH 44145(440) 858-3176 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatology West, Llc NPPES

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

DERMATOLOGY WEST, LLC (NPI 1053521021) is a healthcare organization registered as a clinic/center in Westlake, Ohio and active in the NPI registry since May 2007. The organization lists Kyle Loren Wagamon, Owner, as its authorized official.

NPPES Registry Identity

NPI1053521021
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDERMATOLOGY WEST, LLC
Location Address26410 CENTER RIDGE RDWestlake, OH 44145-4067
Mailing Address1445 Castro StSan Francisco, CA 94114-3717 · (440) 858-3176
Phone(440) 858-3176
Organization SubpartNo
Authorized OfficialKyle Loren WagamonOwner · (440) 858-3176
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053521021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
26410 CENTER RIDGE RD, Westlake, OH 44145
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Other Identifiers 1

Other1780758003CA · Personal Npi

Other Providers at the Same Location NPPES

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

DR. LOUIS STEPHEN KISH MD
Dermatology
26410 CENTER RIDGE RD
WESTLAKE, OH 44145
Cuyahoga County (440) 835-6194

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 Dermatology West, LLC's NPI number?

The NPI number for Dermatology West, LLC is 1053521021. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Dermatology West, LLC located?

Dermatology West, LLC is located at 26410 Center Ridge Rd, Westlake, OH 44145. The listed phone number is (440) 858-3176.

What is Dermatology West, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Dermatology West, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.