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DERMATOLOGY CENTRE OF NORTHEAST OHIO, LLC
NPI 1063565513
Specialist in Youngstown, OH

Active since January 19, 2007CLIA 36D1034794 · Microscopy
960 WINDHAM CT, SUITE 2, YOUNGSTOWN, OH 44512(330) 758-8866(330) 758-4051 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 Centre Of Northeast Ohio, Llc NPPES

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

DERMATOLOGY CENTRE OF NORTHEAST OHIO, LLC (NPI 1063565513) is a healthcare organization registered as a specialist in Youngstown, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through December 13, 2026 and lists Terri L Stilson, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1063565513
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CENTRE OF NORTHEAST OHIO, LLC
Location Address960 WINDHAM CT, SUITE 2Youngstown, OH 44512
Mailing Address960 Windham Ct, Suite 2Youngstown, OH 44512 · (330) 758-8866 · Fax (330) 758-4051
Phone(330) 758-8866
Fax(330) 758-4051
Organization SubpartNo
Authorized OfficialTerri L StilsonPractice Manager · (330) 758-8866
Enumeration DateJanuary 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063565513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35059099
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
960 WINDHAM CT, Youngstown, OH 44512
Open in Google Maps ↗

Other Identifiers 1

Medicaid0784594OH

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

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 for Provider-Performed Microscopy Procedures (PPMP) 36D1034794

Dermatology Centre Of Northeast Ohio · Youngstown, OH
Active · expires Dec 13, 2026
CLIA Number36D1034794
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorAnthony Mehle MD
Laboratory Phone(330) 758-8866
Laboratory LocationDermatology Centre Of Northeast Ohio960 Windham Court Suite 2, Youngstown, OH 44512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

MANUEL M BAUTISTA MD
Internal Medicine (Pulmonary Disease)
960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512
Mahoning County (330) 726-3357
DR. LAWRENCE S GOLDSTEIN MD
Internal Medicine (Pulmonary Disease)
960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512
Mahoning County (330) 726-3357
EASTERN OHIO PULMONARY CONSULTANTS INC
Internal Medicine (Critical Care Medicine)
960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512
Mahoning County (330) 726-3357
ASHLEY MARIE CHEUNG CNP
Nurse Practitioner (Family)
960 WINDHAM CT
YOUNGSTOWN, OH 44512
Mahoning County (330) 726-3357
ANTHONY L MEHLE M.D.
Dermatology
960 WINDHAM CT, STE 2
YOUNGSTOWN, OH 44512
Mahoning County (330) 758-8866
RITHA KARTAN MD
Internal Medicine (Pulmonary Disease)
960 WINDHAM CT, SUITE 1
BOARDMAN, OH 44512
Mahoning County (330) 726-3357

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 Centre Of Northeast Ohio, LLC's NPI number?

The NPI number for Dermatology Centre Of Northeast Ohio, LLC is 1063565513. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Dermatology Centre Of Northeast Ohio, LLC located?

Dermatology Centre Of Northeast Ohio, LLC is located at 960 Windham Ct Suite 2, Youngstown, OH 44512. The listed phone number is (330) 758-8866.

What is Dermatology Centre Of Northeast Ohio, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology Centre Of Northeast Ohio, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1034794) is associated with this NPI, valid through December 13, 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 Dermatology Centre Of Northeast Ohio, 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.