EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA
NPI 1063564664
Dermatology - Procedural Dermatology in Columbus, OH

NPI Status: Active since January 17, 2007

Contact Information

150 TAYLOR STATION RD
SUITE 250
COLUMBUS, OH
ZIP 43213
Phone: (614) 863-3222
Fax: (614) 863-4450

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  • Organization
  • Dermatology
  • Procedural Dermatology

About EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA

This page provides the complete NPI Profile along with additional information for Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla, a provider established in Columbus, Ohio operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1063564664 assigned on January 2007. The practitioner's primary taxonomy code is 207NS0135X with license number 35054686 (OH). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla. The authorized official of this NPI record is Alan J Parks Md (President)

NPI
1063564664
Provider Legal Name
EASTSIDE DERMATOLOGY, INC.
Other Organization Name
EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
150 TAYLOR STATION RD SUITE 250 COLUMBUS, OH 43213
Location Phone
(614) 863-3222
Location Fax
(614) 863-4450
Mailing Address
150 TAYLOR STATION RD SUITE 250 COLUMBUS, OH 43213
Mailing Phone
(614) 863-3222
Mailing Fax
(614) 863-4450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2007
Last Update Date
10-16-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
35054686
License State
OH
Taxonomy Description
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 surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALAN J PARKS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(614) 863-3222

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CM5822MEDICARE PIN (08)OH 
000000214662OTHER (01)OHSTEPHANIE COTELL ANTHEM I
1598751653OTHER (01)OHALAN PARKS NPI
A16830MEDICARE UPIN (02)OH 
C04059851MEDICARE ID-TYPE UNSPECIFIED (04)OHSTEPHANIE COTELL MEDICARE
B53572MEDICARE UPIN (02)OH 
000000118991OTHER (01)OHALAN PARKS ANTHEM ID
1215972484OTHER (01)OHYAHNA T SMITH CNP NPI
9263901MEDICARE ID-TYPE UNSPECIFIED (04)OHALAN PARKS MEDICARE
1922093459OTHER (01)OHSTEPHANIE COTELL NPI
2285218MEDICAID (05)OH 
0665856MEDICAID (05)OH 

Reviews for EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063564664, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 0 + 6 + 8 + 6 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063564664.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
150 TAYLOR STATION RD, SUITE 300
COLUMBUS, OH 43213
Dermatology
150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213
Internal Medicine (Gastroenterology)
150 TAYLOR STATION RD, SUITE 290
COLUMBUS, OH 43213
Technician/Technologist (Optician)
150 TAYLOR STATION RD, SUITE 150
COLUMBUS, OH 43213
Family Medicine
150 TAYLOR STATION RD, SUITE 140
COLUMBUS, OH 43213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
150 TAYLOR STATION RD, SUITE 140
COLUMBUS, OH 43213
Obstetrics & Gynecology
150 TAYLOR STATION RD, SUITE 300
COLUMBUS, OH 43213
Registered Nurse
150 TAYLOR STATION RD, SUITE 360
COLUMBUS, OH 43213
Dermatology
150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213
Obstetrics & Gynecology
150 TAYLOR STATION RD, STE 300
COLUMBUS, OH 43213
Obstetrics & Gynecology
150 TAYLOR STATION RD, STE 300
COLUMBUS, OH 43213
Obstetrics & Gynecology
150 TAYLOR STATION RD
COLUMBUS, OH 43213
Nurse Practitioner (Family)
150 TAYLOR STATION RD
COLUMBUS, OH 43213
Dermatology
150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213
Internal Medicine (Gastroenterology)
150 TAYLOR STATION RD, STE 290
COLUMBUS, OH 43213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063564664, enumerated as an "organization" on January 17, 2007.

The provider is located at 150 TAYLOR STATION RD SUITE 250 COLUMBUS, OH 43213 and the phone number is (614) 863-3222.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.