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OHIO DERMATOLOGY CENTER
NPI 1508197112
Dermatology - MOHS-Micrographic Surgery in New Albany, OH

Active since January 21, 2010
5040 FOREST DR STE 200, NEW ALBANY, OH 43054(614) 585-9900(614) 585-9999 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Aug 7, 2024, Mar 24, 2021 (3 updates tracked since 2021).

About Ohio Dermatology Center NPPES

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

OHIO DERMATOLOGY CENTER (NPI 1508197112) is a healthcare organization registered as a mohs-micrographic surgery in New Albany, Ohio and active in the NPI registry since January 2010. The organization maintains a secondary practice location in Gahanna and lists Larisa Ravitskiy, Owner, as its authorized official.

NPPES Registry Identity

NPI1508197112
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameOHIO SKIN CANCER INSTITUTE LLC
Location Address5040 FOREST DR STE 200New Albany, OH 43054-8166
Mailing Address5040 Forest Dr Ste 200New Albany, OH 43054-8166
Phone(614) 585-9900
Fax(614) 585-9999
Organization SubpartNo
Authorized OfficialLarisa RavitskiyOwner · (614) 585-9900
Enumeration DateJanuary 21, 2010
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1508197112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
5040 FOREST DR STE 200, New Albany, OH 43054
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Other Names 1

Doing Business AsOhio Dermatology Center

Secondary Practice Location 1

Location 1602 Morrison RdGahanna, OH 43230-5342 · Phone (718) 844-8777

Other Identifiers 1

Medicaid2901560OH

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 Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

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

ONSITE HEALTH GROUP LLC
Clinic/Center (Primary Care)
5040 FOREST DR STE 200
NEW ALBANY, OH 43054
Franklin County (937) 239-1700

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 Ohio Skin Cancer Institute LLC's NPI number?

The NPI number for Ohio Skin Cancer Institute LLC is 1508197112. It was assigned to this organization in the NPPES registry on January 21, 2010. The provider is doing business as Ohio Dermatology Center.

Where is Ohio Skin Cancer Institute LLC located?

Ohio Skin Cancer Institute LLC is located at 5040 Forest Dr Ste 200, New Albany, OH 43054. The listed phone number is (614) 585-9900.

What is Ohio Skin Cancer Institute LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

What insurance does Ohio Skin Cancer Institute LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ohio Skin Cancer Institute 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 Ohio Skin Cancer Institute LLC was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.