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NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER
NPI 1609882836
Dermatology in Gahanna, OH

Active since July 31, 2006CLIA 36D1017621 · Certificate of Compliance
925 NORTH HAMILTON ROAD, SUITE 100, GAHANNA, OH 43230(614) 473-9519(614) 473-9543 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Dermatology And Cosmetic Surgery Center NPPES

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

NORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER (NPI 1609882836) is a healthcare organization registered as a dermatology in Gahanna, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 14, 2028 and lists Joel Bain Herron, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1609882836
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHEAST DERMATOLOGY AND COSMETIC SURGERY CENTER
Location Address925 NORTH HAMILTON ROAD, SUITE 100Gahanna, OH 43230-4566
Mailing Address925 North Hamilton Road, Suite 100Gahanna, OH 43230-4566 · (614) 473-9519 · Fax (614) 473-9543
Phone(614) 473-9519
Fax(614) 473-9543
Organization SubpartNo
Authorized OfficialJoel Bain HerronMedical Director · (614) 473-9519
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 29, 2007
✔ NPI 1609882836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 35078963
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.
925 NORTH HAMILTON ROAD, Gahanna, OH 43230
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Other Identifiers 1

Medicare PIN9335271OH

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 ›

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 Compliance 36D1017621

Northeast Dermatology & Cosmetic Surgery Ctr · Gahanna, OH
Active · expires Apr 14, 2028
CLIA Number36D1017621
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorJoel B. Herron
Laboratory Phone(614) 473-9519
Laboratory LocationNortheast Dermatology & Cosmetic Surgery Ctr925 N Hamilton Road, Suite 100, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Northeast Dermatology And Cosmetic Surgery Center's NPI number?

The NPI number for Northeast Dermatology And Cosmetic Surgery Center is 1609882836. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Northeast Dermatology And Cosmetic Surgery Center located?

Northeast Dermatology And Cosmetic Surgery Center is located at 925 North Hamilton Road Suite 100, Gahanna, OH 43230. The listed phone number is (614) 473-9519.

What is Northeast Dermatology And Cosmetic Surgery Center's specialty?

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

Does Northeast Dermatology And Cosmetic Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 36D1017621) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Dermatology And Cosmetic Surgery Center accept?

Health plans from Anthem Blue Cross and Blue Shield list Northeast Dermatology And Cosmetic Surgery Center 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 Northeast Dermatology And Cosmetic Surgery Center was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.