EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA - NPI 1063564664

Q: What is Eastside Dermatology, Inc.'s NPI number?

The NPI number for Eastside Dermatology, Inc. is 1063564664. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla.

Q: What is Eastside Dermatology, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

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About Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla NPPES

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

EASTSIDE DERMATOLOGY & SKIN CARE CENTER, EASTSIDE DERMATOLOGY OF HILLA (NPI 1063564664) is a healthcare organization registered as a procedural dermatology in Columbus, Ohio and active in the NPI registry since January 2007. The organization lists Alan J Parks, President, as its authorized official.

NPPES Registry Identity

NPI1063564664

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameEASTSIDE DERMATOLOGY, INC.

Location Address150 TAYLOR STATION RD, SUITE 250Columbus, OH 43213

Mailing Address150 Taylor Station Rd, Suite 250Columbus, OH 43213 · (614) 863-3222 · Fax (614) 863-4450

Phone(614) 863-3222

Fax(614) 863-4450

Organization SubpartNo

Authorized OfficialAlan J ParksPresident · (614) 863-3222

Enumeration DateJanuary 17, 2007

Last NPPES UpdateOctober 16, 2008

✔ NPI 1063564664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in OH · 35054686

Definition

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).

150 TAYLOR STATION RD, Columbus, OH 43213

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Other Names 1

Doing Business AsEastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla

Other Identifiers 12

Medicare PINCM5822OH

Other000000214662OH · Stephanie Cotell Anthem I

Other1598751653OH · Alan Parks Npi

Medicare UPINA16830OH

Medicare ID-Type UnspecifiedC04059851OH · Stephanie Cotell Medicare

Medicare UPINB53572OH

Other000000118991OH · Alan Parks Anthem Id

Other1215972484OH · Yahna T Smith Cnp Npi

Medicare ID-Type Unspecified9263901OH · Alan Parks Medicare

Other1922093459OH · Stephanie Cotell Npi

Medicaid2285218OH

Medicaid0665856OH

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

Other Providers at the Same Location NPPES 15

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

KARRIE WOLFE

Nurse Practitioner (Family)

150 TAYLOR STATION RD
COLUMBUS, OH 43213

Franklin County (614) 856-0700

JEFFREY S SAMS MD

Internal Medicine (Gastroenterology)

150 TAYLOR STATION RD, SUITE 290
COLUMBUS, OH 43213

Franklin County (614) 235-2326

COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.

Obstetrics & Gynecology

150 TAYLOR STATION RD, SUITE 300
COLUMBUS, OH 43213

Franklin County (614) 434-2400

INTEGRATED DERMATOLOGY OF COLUMBUS LLC

Dermatology

150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213

Franklin County (614) 863-3222

MOUNT CARMEL HEALTH PROVIDERS INC

Family Medicine

150 TAYLOR STATION RD, SUITE 140
COLUMBUS, OH 43213

Franklin County (614) 856-0700

MONICA LYNN WIRRIG D.O.

Obstetrics & Gynecology

150 TAYLOR STATION RD
COLUMBUS, OH 43213

Franklin County (614) 434-2400

DR. ALAN J PARKS M.D.

Dermatology

150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213

Franklin County (614) 863-3222

DR. BENJAMIN A BOGUCKI M.D.

Dermatology

150 TAYLOR STATION RD, SUITE 250
COLUMBUS, OH 43213

Franklin County (614) 863-3222

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 Eastside Dermatology, Inc.'s NPI number?

The NPI number for Eastside Dermatology, Inc. is 1063564664. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Eastside Dermatology & Skin Care Center, Eastside Dermatology Of Hilla.

Where is Eastside Dermatology, Inc. located?

Eastside Dermatology, Inc. is located at 150 Taylor Station Rd Suite 250, Columbus, OH 43213. The listed phone number is (614) 863-3222.

What is Eastside Dermatology, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Eastside Dermatology, Inc. was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.