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DERMATOLOGY & AESTHETIC CARE LLC
NPI 1962795302
Dermatology in Centerville, OH

Active since May 18, 2011CLIA 36D2268436 · Waiver
1299 E ALEX BELL RD, CENTERVILLE, OH 45459(937) 436-1117(937) 436-9576 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology & Aesthetic Care Llc NPPES

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

DERMATOLOGY & AESTHETIC CARE LLC (NPI 1962795302) is a healthcare organization registered as a dermatology in Centerville, Ohio and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Patricia A Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1962795302
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & AESTHETIC CARE LLC
Location Address1299 E ALEX BELL RDCenterville, OH 45459-2658
Mailing Address1299 E Alex Bell RdCenterville, OH 45459-2658 · (937) 436-1117 · Fax (937) 436-9576
Phone(937) 436-1117
Fax(937) 436-9576
Organization SubpartNo
Authorized OfficialPatricia A DickersonOwner · (937) 436-1117
Enumeration DateMay 18, 2011
Last NPPES UpdateOctober 27, 2014
✔ NPI 1962795302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1299 E ALEX BELL RD, Centerville, OH 45459
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Other Identifiers 2

Medicare PINDE9394921
Medicaid0055983OH

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, CareSource.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 Waiver 36D2268436

Dermatology & Aesthetic Care · Centerville, OH
Active · expires Sep 11, 2026
CLIA Number36D2268436
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorBradley S. Soder
Laboratory Phone(937) 436-1117
Laboratory LocationDermatology & Aesthetic Care1299 E Alex Bell Rd, Centerville, OH 45459
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

PATRICIA A. DICKERSON MD
Dermatology
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Montgomery County (937) 436-1117
MS. AMY M BUSCHUR FNP
Nurse Practitioner
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Montgomery County (937) 436-1117
PATRICIA A DICKERSON MD
Dermatology
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Montgomery County (937) 436-1117
MS. EMILY SUZANNE MONROE PA-C
Physician Assistant
1299 E ALEX BELL RD
CENTERVILLE, OH 45459
Montgomery County (937) 436-1117

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 Dermatology & Aesthetic Care LLC's NPI number?

The NPI number for Dermatology & Aesthetic Care LLC is 1962795302. It was assigned to this organization in the NPPES registry on May 18, 2011.

Where is Dermatology & Aesthetic Care LLC located?

Dermatology & Aesthetic Care LLC is located at 1299 E Alex Bell Rd, Centerville, OH 45459. The listed phone number is (937) 436-1117.

What is Dermatology & Aesthetic Care LLC's specialty?

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

Does Dermatology & Aesthetic Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2268436) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology & Aesthetic Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Dermatology & Aesthetic Care 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 Dermatology & Aesthetic Care LLC was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.