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CINCYSKIN MEDICAL AND COSMETIC DERMATOLOGY LLC
NPI 1992373062
Dermatology in Cincinnati, OH

Active since June 15, 2021CLIA 36D2231565 · Waiver
8300 KENWOOD RD STE A, CINCINNATI, OH 45236(513) 393-9122(513) 715-0003 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cincyskin Medical And Cosmetic Dermatology Llc NPPES

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

CINCYSKIN MEDICAL AND COSMETIC DERMATOLOGY LLC (NPI 1992373062) is a healthcare organization registered as a dermatology in Cincinnati, Ohio and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Jacqueline Christine Fisher, Owner, as its authorized official.

NPPES Registry Identity

NPI1992373062
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCINCYSKIN MEDICAL AND COSMETIC DERMATOLOGY LLC
Location Address8300 KENWOOD RD STE ACincinnati, OH 45236-2294
Mailing Address8300 Kenwood Rd Ste ACincinnati, OH 45236-2294 · (513) 393-9122 · Fax (513) 715-0003
Phone(513) 393-9122
Fax(513) 715-0003
Organization SubpartNo
Authorized OfficialJacqueline Christine FisherOwner · (937) 681-0104
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1992373062 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.
8300 KENWOOD RD STE A, Cincinnati, OH 45236
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cincyskin Medical And Cosmetic Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cincyskin Medical And Cosmetic Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Fisher, DO
Dermatology
NPI 1528401213
8300 KENWOOD RD STE A
Cincinnati, OH 45236
(513) 393-9122
✔ PECOS✔ Accepts MedicareSame address

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

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 36D2231565

Cincyskin Medical & Cosmetic Dermatology · Cincinnati, OH
Active · expires Aug 3, 2027
CLIA Number36D2231565
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorJacqueline C. Fisher
Laboratory Phone(513) 393-9122
Laboratory LocationCincyskin Medical & Cosmetic Dermatology8300 Kenwood Rd, Suite A, Cincinnati, OH 45236
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cincyskin Medical And Cosmetic Dermatology LLC's NPI number?

The NPI number for Cincyskin Medical And Cosmetic Dermatology LLC is 1992373062. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Cincyskin Medical And Cosmetic Dermatology LLC located?

Cincyskin Medical And Cosmetic Dermatology LLC is located at 8300 Kenwood Rd Ste A, Cincinnati, OH 45236. The listed phone number is (513) 393-9122.

What is Cincyskin Medical And Cosmetic Dermatology LLC's specialty?

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

Is Cincyskin Medical And Cosmetic Dermatology LLC enrolled in Medicare?

Yes. Cincyskin Medical And Cosmetic Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cincyskin Medical And Cosmetic Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Cincyskin Medical And Cosmetic Dermatology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cincyskin Medical And Cosmetic Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2231565) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cincyskin Medical And Cosmetic Dermatology LLC was last updated on June 15, 2021. 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.