1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Physician Assistant
  6. NPI Profile

DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC.
NPI 1780052811
Physician Assistant in Cincinnati, OH

Active since September 06, 2015CLIA Certified · 8 labs
7691 5 MILE RD, SUITE 312, CINCINNATI, OH 45230(513) 232-3332(513) 232-9635 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatologists Of Southwestern Ohio, Llc. NPPES

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

DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC. (NPI 1780052811) is a healthcare organization registered as a physician assistant in Cincinnati, Ohio and active in the NPI registry since September 2015. The organization holds 8 active CLIA laboratory certificates and lists John C. Lepage, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1780052811
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameDERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC.
Location Address7691 5 MILE RD, SUITE 312Cincinnati, OH 45230-4348
Mailing Address5300 Far Hills AveDayton, OH 45429-2381 · (937) 433-7536 · Fax (937) 433-9612
Phone(513) 232-3332
Fax(513) 232-9635
Organization SubpartNo
Authorized OfficialJohn C. LepageAuthorized Official · (937) 433-7536
Enumeration DateSeptember 6, 2015
Last NPPES UpdateOctober 16, 2017
✔ NPI 1780052811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 004150
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7691 5 MILE RD, Cincinnati, OH 45230
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA 8

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 36D0699996

Dermatologists Of Southwest Ohio Inc · Dayton, OH
Active · expires Jun 13, 2028
CLIA Number36D0699996
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorDr. Phillip K. Hall
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio Inc5300 Far Hills Aveue, Dayton, OH 45429
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0685902

Dermatologists Of Southwest Ohio · Cincinnati, OH
Active · expires Apr 30, 2028
CLIA Number36D0685902
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorE Brent B. Kirkland
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio7691 Five Mile Road, Suite 312, Cincinnati, OH 45230
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D1019036

Dermatologists Of Southwest Ohio · Beavercreek, OH
Active · expires Nov 9, 2027
CLIA Number36D1019036
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorKathryn V. Balazs
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio3572 Dayton Xenia Rd #105, Beavercreek, OH 45432
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2045363

Dermatologists Of Southwest Ohio Mason Lab · Mason, OH
Active · expires Oct 16, 2027
CLIA Number36D2045363
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorEugene B. Kirkland
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio Mason Lab6110 Radio Way, Mason, OH 45040
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 36D2099322

Dermatologists Of Southwest Ohio · Wooster, OH
Active · expires Jul 23, 2027
CLIA Number36D2099322
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorShane C. Clark
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio347 W Milltown Road, Suite B, Wooster, OH 44691
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0922804

Dermatologists Of Southwest Ohio · Dayton, OH
Active · expires Feb 17, 2027
CLIA Number36D0922804
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorDr. Stephen B. Levitt
Laboratory Phone(937) 433-7536
Laboratory LocationDermatologists Of Southwest Ohio9000 N Main St Ste 321, Dayton, OH 45415
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

DESTINY MICHELE HINES CNM
Advanced Practice Midwife
7691 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 231-3447
ANNE W LUCKY M.D.
Dermatology (Pediatric Dermatology)
7691 5 MILE RD, STE. 312
CINCINNATI, OH 45230
Hamilton County (513) 232-3332
MRS. MARIA LYNN KERSTING AUD
Audiologist
7691 5 MILE RD, SUITE 214
CINCINNATI, OH 45230
Hamilton County (513) 232-3277
ANDERSON SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
7691 5 MILE RD, SUITE 10 B
CINCINNATI, OH 45230
Hamilton County (513) 624-7246
KIERSTEN ANDERSON
Audiologist-Hearing Aid Fitter
7691 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 421-5558
P K LAMBERT & ASSOCIATES, LLC
Clinic/Center (Hearing and Speech)
7691 5 MILE RD, SUITE 213
CINCINNATI, OH 45230
Hamilton County (513) 231-3197
NANCY MILLS AUDIOLOGY, LLC
Clinic/Center (Hearing and Speech)
7691 5 MILE RD, SUITE 305
CINCINNATI, OH 45230
Hamilton County (513) 233-9560
ADVANCED SPINE & PAIN MANAGEMENT INC
Pain Medicine (Interventional Pain Medicine)
7691 5 MILE RD, SUITE 10
CINCINNATI, OH 45230
Hamilton County (513) 624-7246

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 Dermatologists Of Southwestern Ohio, LLC.'s NPI number?

The NPI number for Dermatologists Of Southwestern Ohio, LLC. is 1780052811. It was assigned to this organization in the NPPES registry on September 6, 2015.

Where is Dermatologists Of Southwestern Ohio, LLC. located?

Dermatologists Of Southwestern Ohio, LLC. is located at 7691 5 Mile Rd Suite 312, Cincinnati, OH 45230. The listed phone number is (513) 232-3332.

What is Dermatologists Of Southwestern Ohio, LLC.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Dermatologists Of Southwestern Ohio, LLC. hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dermatologists Of Southwestern Ohio, LLC. was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.