BLUE ASH DERMATOLOGY, LLC
NPI 1679016745
Dermatology in Blue Ash, OH

Active since November 22, 2016
9403 KENWOOD RD, STE B100, BLUE ASH, OH 45242(513) 891-8045(513) 891-8110 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2017, Nov 22, 2016 (2 updates tracked since 2016).

About Blue Ash Dermatology, Llc NPPES

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

BLUE ASH DERMATOLOGY, LLC (NPI 1679016745) is a healthcare organization registered as a dermatology in Blue Ash, Ohio and active in the NPI registry since November 2016. The organization lists Samir B Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1679016745
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLUE ASH DERMATOLOGY, LLC
Location Address9403 KENWOOD RD, STE B100Blue Ash, OH 45242-6895
Mailing Address9403 Kenwood Rd, Ste B100Blue Ash, OH 45242-6895 · (513) 891-8045 · Fax (513) 891-8110
Fax(513) 891-8110
Organization SubpartNo
Authorized OfficialSamir B PatelOwner · (513) 770-4212
Enumeration DateNovember 22, 2016
Last NPPES UpdateMay 24, 20172 updates tracked since enumeration
NPI 1679016745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9403 KENWOOD RD, Blue Ash, OH 45242

Other Identifiers 1

Medicaid0209139OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Family Medicine
9403 KENWOOD RD, SUITE C208
BLUE ASH, OH 45242
Family Medicine (Addiction Medicine)
9403 KENWOOD RD
BLUE ASH, OH 45242
Social Worker (Clinical)
9403 KENWOOD RD
BLUE ASH, OH 45242
Counselor (Addiction (Substance Use Disorder))
9403 KENWOOD RD
BLUE ASH, OH 45242
Psychologist (Clinical)
9403 KENWOOD RD, SUITE B110
CINCINNATI, OH 45242
Family Medicine
9403 KENWOOD RD, SUITE C208
CINCINNATI, OH 45242
Occupational Therapist
9403 KENWOOD RD, SUITE A120
CINCINNATI, OH 45242
Case Manager/Care Coordinator
9403 KENWOOD RD
BLUE ASH, OH 45242

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 Blue Ash Dermatology, LLC's NPI number?

The NPI number for Blue Ash Dermatology, LLC is 1679016745. It was assigned to this organization in the NPPES registry on November 22, 2016.

Where is Blue Ash Dermatology, LLC located?

Blue Ash Dermatology, LLC is located at 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242. The listed phone number is (513) 891-8045.

What is Blue Ash 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 Blue Ash Dermatology, LLC was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.