ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
NPI 1073528733
Dermatology - Procedural Dermatology in Mansfield, OH
NPI Status: Active since July 30, 2006
Contact Information
770 BALGREEN DR
STE 201
MANSFIELD, OH
ZIP 44906
Phone: (419) 756-1600
Fax: (419) 775-1196
- Organization
- Dermatology
- Procedural Dermatology
- Accepts Insurance
- CLIA Number: 36D0962642
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-13-2028
About ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
This page provides the complete NPI Profile along with additional information for Advanced Dermatology Of North Central Ohio Inc, a provider established in Mansfield, Ohio operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1073528733 assigned on July 2006. The practitioner's primary taxonomy code is 207NS0135X with license number 35063717T (OH). The provider is registered as an organization and their NPI record was last updated 14 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 Advanced Dermatology Of North Central Ohio Inc. The authorized official of this NPI record is Dr. Christ John Ticoras M.d. (Owner/president)
- NPI
- 1073528733
- Provider Legal Name
- ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
- Other Organization Name
- ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 770 BALGREEN DR STE 201 MANSFIELD, OH 44906
- Location Phone
- (419) 756-1600
- Location Fax
- (419) 775-1196
- Mailing Address
- 770 BALGREEN DR. STE. 201 MANSFIELD, OH 44906
- Mailing Phone
- (419) 756-1600
- Mailing Fax
- (419) 775-1196
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-30-2006
- Last Update Date
- 08-21-2012
- Code Navigator
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.
- 35063717T
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207NS0135X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193400000X MULTIPLE 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:
- Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 8500 for HSA - HMO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 5500 for HSA - HMO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
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.
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 |
|---|---|---|---|
| CH7642 | MEDICARE PIN (08) | OH | |
| 2251316 | MEDICAID (05) | OH | |
| 9315311 | MEDICARE PIN (08) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0962642
- Facility Type
- Physician Office
- Certificate Effective Date
- February 14, 2026
- Certificate Expiration Date
- February 13, 2028
- Laboratory Director
- DR. PETER C. SELINE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Advanced Dermatology Of North Central Ohio Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1073528733, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
MANSFIELD, OH 44906
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073528733, enumerated as an "organization" on July 30, 2006.
The provider is located at 770 BALGREEN DR STE 201 MANSFIELD, OH 44906 and the phone number is (419) 756-1600.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
