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FAIRLAWN DERMATOLOGY, LLC
NPI 1356376917
Clinic/Center - Medical Specialty in Fairlawn, OH

Active since July 12, 2006CLIA Certified · 2 labs
55 MERZ BLVD, SUITE A, FAIRLAWN, OH 44333(330) 864-9000(330) 864-9004 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairlawn Dermatology, Llc NPPES

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

FAIRLAWN DERMATOLOGY, LLC (NPI 1356376917) is a healthcare organization registered as a medical specialty in Fairlawn, Ohio and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Valerie W Fuller, Physician, as its authorized official.

NPPES Registry Identity

NPI1356376917
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameFAIRLAWN DERMATOLOGY, LLC
Location Address55 MERZ BLVD, SUITE AFairlawn, OH 44333-2895
Mailing Address55 Merz Blvd, Suite AFairlawn, OH 44333-2895 · (330) 864-9000 · Fax (330) 864-9004
Phone(330) 864-9000
Fax(330) 864-9004
Organization SubpartNo
Authorized OfficialValerie W FullerPhysician · (330) 864-9000
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 18, 2013
✔ NPI 1356376917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in OH · 8780
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
55 MERZ BLVD, Fairlawn, OH 44333
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D2337520

Fairlawn Dermatology · Fairlawn, OH
Active · expires Jan 25, 2028
CLIA Number36D2337520
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Nathaniel Cevasco
Laboratory Phone(330) 864-9000
Laboratory LocationFairlawn Dermatology55 Merz Blvd, Suite A, Fairlawn, OH 44333
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 36D2337157

Fairlawn Dermatology - Green · Uniontown, OH
Active · expires Jan 19, 2028
CLIA Number36D2337157
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorValerie Fuller
Laboratory Phone(330) 864-9000
Laboratory LocationFairlawn Dermatology - Green1790 Town Park Blvd Suite A, Uniontown, OH 44685
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

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

LINDSAY CHAPPELL C.N.P.
Nurse Practitioner (Primary Care)
55 MERZ BLVD, SUITE A
FAIRLAWN, OH 44333
Summit County (330) 864-9000

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 Fairlawn Dermatology, LLC's NPI number?

The NPI number for Fairlawn Dermatology, LLC is 1356376917. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Fairlawn Dermatology, LLC located?

Fairlawn Dermatology, LLC is located at 55 Merz Blvd Suite A, Fairlawn, OH 44333. The listed phone number is (330) 864-9000.

What is Fairlawn Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Fairlawn Dermatology, LLC 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.

What insurance does Fairlawn Dermatology, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Fairlawn Dermatology, LLC 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 Fairlawn Dermatology, LLC was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.