Individual provider Active NPI

Laura A Kwasniak, MD

  • Dermatology Physician
  • Mayfield Village, OH
National Provider Identifier
1013181999
Registry record updated Aug 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.098081 Issued in OH
Practice address
6551 Wilson Mills Rd
Suite 101
Mayfield Village, OH 44143-3495
Phone
(440) 460-2884
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.098081 OH Primary

Addresses

Primary practice location

6551 Wilson Mills Rd
Suite 101
Mayfield Village, OH 44143-3495

Mailing address

6551 Wilson Mills Rd
Suite 101
Mayfield Village, OH 44143-3495
Phone (440) 460-2884

Other names 1

  • Laura A Worthing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120726000345 OH Practitioner - Dermatology 7416113022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fred S Hirsh MD IncGroup PAC ID 3476587866, 2 clinicians

Practice addresses (Care Compare)

6551 Wilson Mills Rd
Suite 101
Mayfield VLG, OH 44143-3425
Phone (440) 460-2884

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as individual
Quality
77.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1638
Removal or shaving of skin growth1-10
Skin biopsy309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fred S Hirsh MD Inc Dermatology CurrentSince Sep 1, 2012 Accepting new patients

Locations

6551 Wilson Mills Rd
Ste 101
Mayfield Vlg, OH 44143
Phone (440) 460-2884

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345334400000",
    "number": "1013181999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE 101",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-460-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 WILSON MILLS RD",
            "address_2": "SUITE 101",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433495",
            "telephone_number": "440-460-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASNIAK",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.098081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WORTHING",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.