DERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC. - NPI 1235442211

Q: What is Dermatology & Surgery Of Southern Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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About Dermatology & Surgery Of Southern Ohio, Inc. NPPES

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

DERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC. (NPI 1235442211) is a healthcare organization registered as a dermatology in Liberty Townshp, Ohio and active in the NPI registry since July 2010. The organization holds 2 active CLIA laboratory certificates and lists Joni Proft, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1235442211

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDERMATOLOGY & SURGERY OF SOUTHERN OHIO, INC.

Location Address7132 CINCINNATI DAYTON RD, SUITE 200Liberty Townshp, OH 45069-1775

Mailing AddressPo Box 633048Cincinnati, OH 45263-3048 · (513) 858-6900 · Fax (513) 858-6903

Phone(513) 858-6900

Fax(513) 858-6903

Organization SubpartNo

Authorized OfficialJoni ProftOffice Administrator · (513) 858-6900

Enumeration DateJuly 20, 2010

✔ NPI 1235442211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in OH · 035060409

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 035060409 (OH)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 035060409 (OH)

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 035060409 (OH)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 035060409 (OH)

7132 CINCINNATI DAYTON RD, Liberty Townshp, OH 45069

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Other Identifiers 1

Medicare PINDE9270061

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

CLIA Laboratory Certificates CMS CLIA 2

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 36D0894962

Dermatology & Surgery Of Southern Ohio · Fairfield, OH

Active · expires Apr 12, 2027

CLIA Number36D0894962

Laboratory TypePhysician Office

Certificate Effective DateApril 13, 2025

Certificate Expiration DateApril 12, 2027

Laboratory DirectorScott C. Grevey

Laboratory Phone(513) 858-6900

Laboratory LocationDermatology & Surgery Of Southern Ohio1213 Nilles Road, Fairfield, OH 45014

CLIA data matches this NPI record on: 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 for Provider-Performed Microscopy Procedures (PPMP) 36D2010648

Dermatology And Surgery Of Southern Ohio Inc · West Chester, OH

Active · expires Dec 17, 2026

CLIA Number36D2010648

Laboratory TypePhysician Office

Certificate Effective DateDecember 18, 2024

Certificate Expiration DateDecember 17, 2026

Laboratory DirectorDr. Scott C. Grevey MD

Laboratory Phone(513) 858-6900

Laboratory LocationDermatology And Surgery Of Southern Ohio Inc7132 Cincinnati Dayton Road Suite 200, West Chester, OH 45069

CLIA data matches this NPI record on: 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.

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 & Surgery Of Southern Ohio, Inc.'s NPI number?

The NPI number for Dermatology & Surgery Of Southern Ohio, Inc. is 1235442211. It was assigned to this organization in the NPPES registry on July 20, 2010.

Where is Dermatology & Surgery Of Southern Ohio, Inc. located?

Dermatology & Surgery Of Southern Ohio, Inc. is located at 7132 Cincinnati Dayton Rd Suite 200, Liberty Townshp, OH 45069. The listed phone number is (513) 858-6900.

What is Dermatology & Surgery Of Southern Ohio, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology & Surgery Of Southern Ohio, Inc. hold CLIA laboratory certificates?

Yes. 2 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.

When was this NPI record last updated?

The NPPES record for Dermatology & Surgery Of Southern Ohio, Inc. was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.