ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
NPI 1073528733
Dermatology - Procedural Dermatology in Mansfield, OH

Active since July 30, 2006CLIA 36D0962642 · Certificate of Compliance
770 BALGREEN DR, STE 201, MANSFIELD, OH 44906(419) 756-1600(419) 775-1196 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dermatology Of North Central Ohio Inc NPPES

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

ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC (NPI 1073528733) is a healthcare organization registered as a procedural dermatology in Mansfield, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 13, 2028 and lists Christ John Ticoras, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1073528733
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
Location Address770 BALGREEN DR, STE 201Mansfield, OH 44906-4106
Mailing Address770 Balgreen Dr., Ste. 201Mansfield, OH 44906-4106 · (419) 756-1600 · Fax (419) 775-1196
Fax(419) 775-1196
Organization SubpartNo
Authorized OfficialChrist John TicorasOwner/president · (419) 756-1600
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 21, 2012
NPI 1073528733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in OH · 35063717T
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).

Also ListedDermatologyTaxonomy 207N00000X
770 BALGREEN DR, Mansfield, OH 44906

Other Names 1

Doing Business AsAdvanced Dermatology Of North Central Ohio Inc

Other Identifiers 3

Medicare PINCH7642OH
Medicaid2251316OH
Medicare PIN9315311OH

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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 of Compliance 36D0962642

Advanced Dermatology Of Nc Ohio Inc · Mansfield, OH
Active · expires Feb 13, 2028
CLIA Number36D0962642
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDr. Peter C. Seline
Laboratory Phone(419) 756-1600
Laboratory LocationAdvanced Dermatology Of Nc Ohio Inc770 Balgreen Drive Suite 201, Mansfield, OH 44906
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Specialist
770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906
Clinical Medical Laboratory
770 BALGREEN DR
MANSFIELD, OH 44906
Internal Medicine
770 BALGREEN DR, SUITE 203
MANSFIELD, OH 44906
Internal Medicine (Pulmonary Disease)
770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906
Plastic Surgery
770 BALGREEN DR, SUITE 109
MANSFIELD, OH 44906
Pharmacist
770 BALGREEN DR, SUITE 104
MANSFIELD, OH 44906
Obstetrics & Gynecology
770 BALGREEN DR, SUITE 207
MANSFIELD, OH 44906
Otolaryngology
770 BALGREEN DR, SUITE 209
MANSFIELD, OH 44906

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 Advanced Dermatology Of North Central Ohio Inc's NPI number?

The NPI number for Advanced Dermatology Of North Central Ohio Inc is 1073528733. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Advanced Dermatology Of North Central Ohio Inc located?

Advanced Dermatology Of North Central Ohio Inc is located at 770 Balgreen Dr Ste 201, Mansfield, OH 44906. The listed phone number is (419) 756-1600.

What is Advanced Dermatology Of North Central Ohio Inc's specialty?

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

Does Advanced Dermatology Of North Central Ohio Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D0962642) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Dermatology Of North Central Ohio Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Dermatology Of North Central Ohio Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Of North Central Ohio Inc was last updated on August 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.