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ALLIED DERMATOLOGY AND SKIN SURGERY, LLC
NPI 1932592698
Dermatology in Fairlawn, OH

Active since March 05, 2015CLIA Certified · 4 labs
3624 W MARKET ST STE 101, FAIRLAWN, OH 44333(330) 665-0555 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2020, Sep 11, 2020, Oct 25, 2016 and 1 more (4 updates tracked since 2016).

About Allied Dermatology And Skin Surgery, Llc NPPES

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

ALLIED DERMATOLOGY AND SKIN SURGERY, LLC (NPI 1932592698) is a healthcare organization registered as a dermatology in Fairlawn, Ohio and active in the NPI registry since March 2015. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Justin Woodhouse, Partner, as its authorized official.

NPPES Registry Identity

NPI1932592698
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALLIED DERMATOLOGY AND SKIN SURGERY, LLC
Location Address3624 W MARKET ST STE 101Fairlawn, OH 44333-4510
Mailing Address3624 W Market St Ste 101Fairlawn, OH 44333-4510
Phone(330) 665-0555
Organization SubpartNo
Authorized OfficialJustin WoodhousePartner · (330) 665-0555
Enumeration DateMarch 5, 2015
Last NPPES UpdateNovember 19, 20204 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1932592698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
3624 W MARKET ST STE 101, Fairlawn, OH 44333
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Secondary Practice Locations 3

Location 15915 Landerbrook Dr Ste 120Mayfield Hts, OH 44124-4034 · Phone (216) 382-3806
Location 29485 Mentor Ave Ste 102Mentor, OH 44060-8722 · Phone (440) 266-5500
Location 31560 Corporate Woods PkwyUniontown, OH 44685-8730 · Phone (330) 665-0555

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allied Dermatology And Skin Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Allied Dermatology And Skin Surgery, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology9
Nurse Practitioner4

Clinicians, nearest first (13)

Angela Funovits, M.D.
Dermatology
NPI 1982044830
3624 W MARKET ST STE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Ann Kooken, M.D.
Dermatology
NPI 1043315666
3624 W MARKET ST STE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
James Libecco, MD
Dermatology
NPI 1215991393
3624 W MARKET ST
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Allison Moosally, MD
Dermatology
NPI 1104847334
3624 W MARKET ST SUITE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Kimberly Tamargo, MD
Dermatology
NPI 1003336140
3624 W MARKET ST STE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Abby Vrable
Dermatology
NPI 1285098491
3624 W MARKET ST STE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Jill Warner, CNP
Nurse Practitioner
NPI 1376824979
3624 W MARKET ST STE 101
Fairlawn, OH 44333
(330) 665-0555
✔ PECOS✔ Accepts MedicareSame address
Alyssa Hauff, CRNP- BC
Nurse Practitioner
NPI 1982288627
95 ARCH ST STE 300
Akron, OH 44304
(330) 612-4090
✔ PECOS7.7 mi
Natalie Bilinovich, CNP
Nurse Practitioner
NPI 1821511817
1587 BOETTLER RD STE 140
Green, OH 44685
(330) 665-0555
✔ PECOS✔ Accepts Medicare15 mi
Justin Woodhouse, MD
Dermatology
NPI 1225128556
5915 LANDERBROOK DR SUITE 120
Mayfield Heights, OH 44124
(216) 382-3806
✔ PECOS✔ Accepts Medicare27 mi
Christina Cernik, M.D.
Dermatology
NPI 1558523605
5915 LANDERBROOK DR STE 120
Mayfield Hts, OH 44124
(216) 382-3806
✔ PECOS27 mi
Gina Berardinelli, NP-C
Nurse Practitioner
NPI 1003079922
9485 MENTOR AVE STE 102
Mentor, OH 44060
(440) 266-5500
✔ PECOS✔ Accepts Medicare42 mi
Lauren Guren, MD
Dermatology
NPI 1710276563
2 MIRANOVA PL STE 500
Columbus, OH 43215
(614) 321-9743
✔ PECOS✔ Accepts Medicare108 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 36D2092579

Allied Dermatology And Skin Surgery, LLC · Mentor, OH
Active · expires Aug 17, 2027
CLIA Number36D2092579
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Justin G. Woodhouse
Laboratory Phone(330) 266-5500
Laboratory LocationAllied Dermatology And Skin Surgery, LLC9485 Mentor Avenue, Suite 102, Mentor, OH 44060
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 36D2348681

Allied Dermatology And Skin Surgery, LLC · Uniontown, OH
Active · expires Aug 10, 2028
CLIA Number36D2348681
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2026
Certificate Expiration DateAugust 10, 2028
Laboratory DirectorAllison J. Moosally
Laboratory Phone(330) 665-0555
Laboratory LocationAllied Dermatology And Skin Surgery, LLC1587 Boettler Rd, Suite 140, Uniontown, OH 44685
CLIA data matches this NPI record on: Name 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 of Compliance 36D2092580

Allied Dermatology And Skin Surgery, LLC · Mayfield Heights, OH
Active · expires Feb 16, 2028
CLIA Number36D2092580
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDr. Justin G. Woodhouse
Laboratory Phone(330) 665-0555
Laboratory LocationAllied Dermatology And Skin Surgery, LLC5915 Landerbrook Drive, Suite 120, Mayfield Heights, OH 44124
CLIA data matches this NPI record on: Name 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 of Compliance 36D2092567

Allied Dermatology And Skin Surgery, LLC · Akron, OH
Active · expires Aug 18, 2027
CLIA Number36D2092567
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAllison Moosally
Laboratory Phone(330) 665-0555
Laboratory LocationAllied Dermatology And Skin Surgery, LLC3624 West Market Street, Akron, OH 44333
CLIA data matches this NPI record on: Name 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 Allied Dermatology And Skin Surgery, LLC's NPI number?

The NPI number for Allied Dermatology And Skin Surgery, LLC is 1932592698. It was assigned to this organization in the NPPES registry on March 5, 2015.

Where is Allied Dermatology And Skin Surgery, LLC located?

Allied Dermatology And Skin Surgery, LLC is located at 3624 W Market St Ste 101, Fairlawn, OH 44333. The listed phone number is (330) 665-0555.

What is Allied Dermatology And Skin Surgery, LLC's specialty?

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

Is Allied Dermatology And Skin Surgery, LLC enrolled in Medicare?

Yes. Allied Dermatology And Skin Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allied Dermatology And Skin Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Allied Dermatology And Skin Surgery, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (9) and Nurse Practitioner (4). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allied Dermatology And Skin Surgery, LLC hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Allied Dermatology And Skin Surgery, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Allied Dermatology And Skin Surgery, 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 Allied Dermatology And Skin Surgery, LLC was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.