OPTIMA DERMATOLOGY LLC
NPI 1831187764
Dermatology in Boardman, OH
NPI Status: Active since October 13, 2005
Contact Information
987 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512
Phone: (330) 965-8760
Fax: (330) 965-9325
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 36D2244902
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-17-2027
About OPTIMA DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Optima Dermatology Llc, a provider established in Boardman, Ohio operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1831187764 assigned on October 2005. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Optima Dermatology Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Advanced Dermatology And Skin Cancer Center Llc. The authorized official of this NPI record is John Bernat Md (Authorized Official)
- NPI
- 1831187764
- Provider Legal Name
- OPTIMA DERMATOLOGY LLC
- Other Organization Name
- ADVANCED DERMATOLOGY AND SKIN CANCER CENTER LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 987 BOARDMAN CANFIELD RD BOARDMAN, OH 44512
- Location Phone
- (330) 965-8760
- Location Fax
- (330) 965-9325
- Mailing Address
- 111 NEW HAMPSHIRE AVE STE 2 PORTSMOUTH, NH 03801
- Mailing Phone
- (802) 909-2053
- Mailing Fax
- (330) 965-9325
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-13-2005
- Last Update Date
- 07-01-2024
- Code Navigator
A dermatologist like Optima Dermatology Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Secondary Locations
- 31 Stiles Rd Ste 2100
Salem, NH 03079
(603) 942-2020 - 5817 Happy Hollow Rd
Milford, OH 45150
(513) 327-9244 - 1 Hampton Rd Unit A306
Exeter, NH 03833
(603) 942-2171 - 71 US Route 1 Ste J
Scarborough, ME 04074
(207) 464-2712 - 8183 Golden Link Blvd
Macedonia, OH 44067
(330) 778-1278 - 1027 Boardman Canfield Rd
Boardman, OH 44512
(330) 965-8760 - 911 E Aurora Rd
Macedonia, OH 44056
(330) 306-9844 - 7676 Reynolds Rd
Mentor, OH 44060
(440) 283-3015 - 111 New Hampshire Ave Ste 3
Portsmouth, NH 03801
(603) 988-0951 - 2525 E State St
Salem, OH 44460
(330) 271-8614 - 321 Niles Cortland Rd NE # Uniteb
Warren, OH 44484
(330) 800-5963 - 2223 Niles Cortland Rd SE
Warren, OH 44484
(330) 965-8760 - 1039 Boardman Canfield Rd
Boardman, OH 44512
(330) 271-8589 - 6639 Whitestown Pkwy
Zionsville, IN 46077
(317) 732-8980 - 824 Edwards Dr
Plainfield, IN 46168
(317) 406-3254 - 1100 Southfield Dr Ste 1240
Plainfield, IN 46168
(317) 838-9911 - 1010 W 2nd St
Bloomington, IN 47403
(812) 200-2458 - 2800 S State Road 135 Ste 250
Greenwood, IN 46143
(317) 300-1788 - 29 Sebago Rd
Raymond, ME 04071
(207) 838-9073 - 215 Commerce Way Ste 100
Portsmouth, NH 03801
(603) 441-1075
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | |
| 2 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD - PPO
- Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 8500 for HSA - HMO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced - HMO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice - HMO
- WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2244902
- Facility Type
- Physician Office
- Certificate Effective Date
- July 18, 2025
- Certificate Expiration Date
- July 17, 2027
- Laboratory Director
- CASEY DICKEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optima Dermatology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1831187764, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
BOARDMAN, OH 44512
BOARDMAN, OH 44512
BOARDMAN, OH 44512
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831187764, enumerated as an "organization" on October 13, 2005.
The provider is located at 987 BOARDMAN CANFIELD RD BOARDMAN, OH 44512 and the phone number is (330) 965-8760.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
