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WHEATLAND DERMATOLOGY LLC
NPI 1477931608
Dermatology in St Marys, OH

Active since May 07, 2015CLIA 36D2097049 · Waiver
1050 EAST GREENVILLE RD, ST MARYS, OH 45885(419) 394-3331(419) 394-3330 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2023, Jan 5, 2021 (2 updates tracked since 2021).

About Wheatland Dermatology Llc NPPES

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

WHEATLAND DERMATOLOGY LLC (NPI 1477931608) is a healthcare organization registered as a dermatology in St Marys, Ohio and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Suzanne Quinter, Owner, as its authorized official.

NPPES Registry Identity

NPI1477931608
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWHEATLAND DERMATOLOGY LLC
Location Address1050 EAST GREENVILLE RDSt Marys, OH 45885-4588
Mailing Address1050 East Greenville RdSt Marys, OH 45885-2622 · (419) 394-3331 · Fax (419) 394-3330
Phone(419) 394-3331
Fax(419) 394-3330
Organization SubpartNo
Authorized OfficialSuzanne QuinterOwner · (419) 290-8672
Enumeration DateMay 7, 2015
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1477931608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 35120090
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.
1050 EAST GREENVILLE RD, St Marys, OH 45885
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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

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wheatland Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Wheatland Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Suzanne Quinter, MD
Dermatology
NPI 1376717967
1050 EAST GREENVILLE RD
St Marys, OH 45885
(419) 394-3331
✔ PECOS✔ Accepts MedicareSame address
Kimberly Sadler, APRN CNP
Nurse Practitioner
NPI 1235620956
1050 EAST GREENVILLE RD
Saint Marys, OH 45885
(419) 394-3331
✔ PECOS✔ Accepts MedicareSame address
Audrey Jones, FNP-C
Nurse Practitioner
NPI 1992229850
920 W MARKET ST STE 320
Lima, OH 45805
(937) 433-7536
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Waiver 36D2097049

Wheatland Dermatology · Saint Marys, OH
Active · expires Jul 14, 2027
CLIA Number36D2097049
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorDr. Suzanne D. Quinter
Laboratory Phone(330) 749-8623
Laboratory LocationWheatland Dermatology1050 E Granville Rd, Saint Marys, OH 45885
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Wheatland Dermatology LLC's NPI number?

The NPI number for Wheatland Dermatology LLC is 1477931608. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Wheatland Dermatology LLC located?

Wheatland Dermatology LLC is located at 1050 East Greenville Rd, St Marys, OH 45885. The listed phone number is (419) 394-3331.

What is Wheatland Dermatology LLC's specialty?

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

Is Wheatland Dermatology LLC enrolled in Medicare?

Yes. Wheatland Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wheatland Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wheatland Dermatology LLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wheatland Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2097049) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wheatland Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Wheatland 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 Wheatland Dermatology LLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.