THE GRAND RESORT DERMATOLOGY
NPI 1366208456
Dermatology in Warren, OH

Active since February 26, 2024
1 AMERICAN WAY NE, WARREN, OH 44484(330) 609-8814 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Grand Resort Dermatology NPPES

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

THE GRAND RESORT DERMATOLOGY (NPI 1366208456) is a healthcare organization registered as a dermatology in Warren, Ohio and active in the NPI registry since February 2024. The organization lists Robert T Moosally, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366208456
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAVALON DERMATOLOGY LLC
Location Address1 AMERICAN WAY NEWarren, OH 44484-5531
Mailing Address1 American Way NeWarren, OH 44484-5531 · (330) 609-8814
Organization SubpartNo
Authorized OfficialRobert T MoosallyMedical Director · (330) 609-8814
Enumeration DateFebruary 26, 2024
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1366208456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1 AMERICAN WAY NE, Warren, OH 44484

Other Names 1

Doing Business AsThe Grand Resort Dermatology

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

Other Providers at the Same Location NPPES

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

Dermatology
1 AMERICAN WAY NE
WARREN, OH 44484

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 Avalon Dermatology LLC's NPI number?

The NPI number for Avalon Dermatology LLC is 1366208456. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as The Grand Resort Dermatology.

Where is Avalon Dermatology LLC located?

Avalon Dermatology LLC is located at 1 American Way NE, Warren, OH 44484. The listed phone number is (330) 609-8814.

What is Avalon Dermatology LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Avalon Dermatology LLC was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.