OHIODERM HOLDING INC.
NPI 1174206791
Dermatology - Dermatopathology in Dublin, OH

Active since August 10, 2023CLIA Certified · 4 labs
5775 PERIMETER DR STE 200, DUBLIN, OH 43017(614) 845-0418(614) 389-3841 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Sep 6, 2024, Aug 10, 2023 (3 updates tracked since 2023).

About Ohioderm Holding Inc. NPPES

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

OHIODERM HOLDING INC. (NPI 1174206791) is a healthcare organization registered as a dermatopathology in Dublin, Ohio and active in the NPI registry since August 2023. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Michael Patrick Conroy, Founder, as its authorized official.

NPPES Registry Identity

NPI1174206791
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameOHIODERM HOLDING INC.
Location Address5775 PERIMETER DR STE 200Dublin, OH 43017-3224
Mailing Address5775 Perimeter Dr Ste 200Dublin, OH 43017-3224 · (614) 845-0418
Fax(614) 389-3841
Organization SubpartNo
Authorized OfficialMichael Patrick ConroyFounder · (614) 943-0355
Enumeration DateAugust 10, 2023
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1174206791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
5775 PERIMETER DR STE 200, Dublin, OH 43017

Secondary Practice Locations 3

Location 12200 Timber TrlBellefontaine, OH 43311-9039 · Phone (937) 595-0100
Location 2812 Redskin Trl Ste DWapakoneta, OH 45895-8545 · Phone (419) 549-5607
Location 354 W High St Ste CLondon, OH 43140-1093 · Phone (740) 837-4334 · Fax (740) 422-0777

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 36D2305956

Ohioderm Holdings, Inc · Dublin, OH
Active · expires Apr 20, 2027
CLIA Number36D2305956
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDr. Michael P. Conroy
Laboratory Phone(614) 845-0418
Laboratory LocationOhioderm Holdings, Inc5775 Perimeter Dr, Suite 200, Dublin, OH 43017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 36D2291442

Ohioderm Holdings Inc · London, OH
Active · expires Apr 16, 2027
CLIA Number36D2291442
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorMichael P. Conroy
Laboratory Phone(937) 837-4334
Laboratory LocationOhioderm Holdings Inc54 W High Street, Suite C, London, OH 43140
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2291443

Ohioderm Holding Inc · Wapakoneta, OH
Active · expires Apr 16, 2027
CLIA Number36D2291443
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorMichael P. Conroy
Laboratory Phone(419) 549-5607
Laboratory LocationOhioderm Holding Inc812 Redskin Trail, Wapakoneta, OH 45895
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2254561

Ohioderm Holdings, Inc · Bellefontaine, OH
Active · expires Oct 16, 2026
CLIA Number36D2254561
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Michael P. Conroy
Laboratory Phone(937) 595-0100
Laboratory LocationOhioderm Holdings, Inc2200 Timber Trail, Bellefontaine, OH 43311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dermatology
5775 PERIMETER DR STE 200
DUBLIN, OH 43017
Nurse Practitioner (Family)
5775 PERIMETER DR STE 200
DUBLIN, OH 43017
Dermatology
5775 PERIMETER DR STE 200
DUBLIN, OH 43017

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 Ohioderm Holding Inc.'s NPI number?

The NPI number for Ohioderm Holding Inc. is 1174206791. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is Ohioderm Holding Inc. located?

Ohioderm Holding Inc. is located at 5775 Perimeter Dr Ste 200, Dublin, OH 43017. The listed phone number is (614) 845-0418.

What is Ohioderm Holding Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Does Ohioderm Holding Inc. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Ohioderm Holding Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Ohioderm Holding 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 Ohioderm Holding Inc. was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.