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BEAVERCREEK DERMATOLOGY LLC
NPI 1265535140
Nurse Practitioner in Beavercreek, OH

Active since September 06, 2006
3572 DAYTON-XENIA RD, SUITE 105, BEAVERCREEK, OH 45432(937) 427-4600(937) 427-4520 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Beavercreek Dermatology Llc NPPES

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

BEAVERCREEK DERMATOLOGY LLC (NPI 1265535140) is a healthcare organization registered as a nurse practitioner in Beavercreek, Ohio and active in the NPI registry since September 2006. The organization lists Kathryn V Balazs, Practice Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1265535140
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBEAVERCREEK DERMATOLOGY LLC
Location Address3572 DAYTON-XENIA RD, SUITE 105Beavercreek, OH 45432-2838
Mailing Address3572 Dayton-xenia Rd, Suite 105Beavercreek, OH 45432-2838 · (937) 427-4600 · Fax (937) 427-4520
Phone(937) 427-4600
Fax(937) 427-4520
Organization SubpartNo
Authorized OfficialKathryn V BalazsPractice Owner Physician · (937) 427-4600
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1265535140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedDermatologyTaxonomy 207N00000X
3572 DAYTON-XENIA RD, Beavercreek, OH 45432
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Beavercreek Dermatology LLC's NPI number?

The NPI number for Beavercreek Dermatology LLC is 1265535140. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Beavercreek Dermatology LLC located?

Beavercreek Dermatology LLC is located at 3572 Dayton-Xenia Rd Suite 105, Beavercreek, OH 45432. The listed phone number is (937) 427-4600.

What is Beavercreek Dermatology LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Beavercreek Dermatology LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.