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PHOENIX DERMATOLOGY LTD
NPI 1285697060
Specialist in Canton, OH

Active since April 11, 2006CLIA 36D1035830 · Microscopy
4340 FULTON ROAD NW, CANTON, OH 44718(330) 244-8886(330) 244-8869 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Dermatology Ltd NPPES

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

PHOENIX DERMATOLOGY LTD (NPI 1285697060) is a healthcare organization registered as a specialist in Canton, Ohio and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through January 11, 2027 and lists Maria A Charif, Physician, as its authorized official.

NPPES Registry Identity

NPI1285697060
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHOENIX DERMATOLOGY LTD
Location Address4340 FULTON ROAD NWCanton, OH 44718-2824
Mailing AddressPo Box 155Cheswick, PA 15024-0155 · (412) 826-1065 · Fax (412) 826-1491
Phone(330) 244-8886
Fax(330) 244-8869
Organization SubpartNo
Authorized OfficialMaria A CharifPhysician · (330) 244-8886
Enumeration DateApril 11, 2006
Last NPPES UpdateMay 19, 2009
✔ NPI 1285697060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4340 FULTON ROAD NW, Canton, OH 44718
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Other Identifiers 1

Medicare PINPH9350271OH

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

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 for Provider-Performed Microscopy Procedures (PPMP) 36D1035830

Phoenix Dermatology · Canton, OH
Active · expires Jan 11, 2027
CLIA Number36D1035830
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorMaria A. Charif
Laboratory Phone(330) 832-6831
Laboratory LocationPhoenix Dermatology4340 Fulton Road, Canton, OH 44718
CLIA data matches this NPI record on: Address Name
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 Phoenix Dermatology Ltd's NPI number?

The NPI number for Phoenix Dermatology Ltd is 1285697060. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Phoenix Dermatology Ltd located?

Phoenix Dermatology Ltd is located at 4340 Fulton Road NW, Canton, OH 44718. The listed phone number is (330) 244-8886.

What is Phoenix Dermatology Ltd's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Phoenix Dermatology Ltd hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D1035830) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Dermatology Ltd was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.