Tri County Dermatology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

34005284 Issued in OH

Legal business name

TRI COUNTY DERMATOLOGY INC

Practice address

421 Graham Rd
Suite C
Cuyahoga Falls, OH 44221-1344

Phone

(330) 929-9009

Fax

(330) 929-6264

NPI assigned

Aug 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Monte E Fox, D.O.

Title

Vice President

Phone

(330) 929-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tri County Dermatology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tri County Dermatology Inc

  • Dermatology Physician
  • Ravenna, OH
  • NPI 1184816050
  NPD tax ID
• Tri County Dermatology Inc

  • Specialist
  • Canton, OH
  • NPI 1700077542
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1013108745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-492-2327",
            "fax_number": "330-492-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GRAHAM RD",
            "address_2": "SUITE C",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211344",
            "telephone_number": "330-929-9009",
            "fax_number": "330-929-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-929-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "34005284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Topp, LPCC
• Cathy A. Torcasio, PH.D.
• Total Family Practice Inc
• Michelle Marie Travagliante, NP
• Travel Net Transit LLC
• Tri County Dermatology Inc
• Triad Center
• Thien Truong
• Thomas Jay Tsai, MD
• Tubbs Chiropractic LLC

• Specialist in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.