TRI COUNTY DERMATOLOGY, INC.
NPI 1477753911
Dermatology in Canton, OH
NPI Status: Active since July 23, 2007
Contact Information
4240 MUNSON ST NW
CANTON, OH
ZIP 44718
Phone: (330) 492-2327
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 36D0708071
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-24-2025
About TRI COUNTY DERMATOLOGY, INC.
This page provides the complete NPI Profile along with additional information for Tri County Dermatology, Inc., a provider established in Canton, Ohio operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1477753911 assigned on July 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Schield Martin Wikas Do (President)
- NPI
- 1477753911
- Provider Name
- TRI COUNTY DERMATOLOGY, INC.
- Entity Type
- Organization
- Location Address
- 4240 MUNSON ST NW CANTON, OH 44718
- Location Phone
- (330) 492-2327
- Mailing Address
- 4240 MUNSON ST NW CANTON, OH 44718
- Mailing Phone
- (330) 492-2327
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2007
- Last Update Date
- 10-23-2007
- Code Navigator
A dermatologist like Tri County Dermatology, Inc. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- OH
- Taxonomy Description
- 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.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9268761 | MEDICARE PIN (08) | OH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D0708071
- Facility Type
- Physician Office
- Certificate Effective Date
- April 25, 2023
- Certificate Expiration Date
- April 24, 2025
- Laboratory Director
- SCHIELD M. WIKAS DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Tri County Dermatology, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for TRI COUNTY DERMATOLOGY, INC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 7 | 5 | 3 | 9 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 14 | 5 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 4 + 5 + 6 + 9 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1477753911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
MS. KAREN RUTH HAUDE MPAS PAC
Physician Assistant
4240 MUNSON ST NW
SUITE B
CANTON, OH
ZIP 44718
TRI COUNTY DERMATOLOGY INC
Specialist
4240 MUNSON ST NW
SUITE C
CANTON, OH
ZIP 44718
PARAMOUNT HOME HEALTH CARE INC
Home Health
4240 MUNSON ST NW
SUITE B
CANTON, OH
ZIP 44718
RICHELE SMART
Nurse Practitioner
(Family)
4240 MUNSON ST NW
CANTON, OH
ZIP 44718
ASHLEY BUCKEYE CNP
Nurse Practitioner
(Family)
4240 MUNSON ST NW
CANTON, OH
ZIP 44718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477753911, enumerated as an "organization" on July 23, 2007.
The provider is located at 4240 MUNSON ST NW CANTON, OH 44718 and the phone number is (330) 492-2327.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
