Active NPI
Dermatology Associates of Cinti Inc
- Dermatology Physician
- Cincinnati, OH
National Provider Identifier
1033240247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMATOLOGY ASSOCIATES OF CINTI INC
- Practice address
- 10506 Montgomery Road
#402
Cincinnati, OH 45242 - Phone
- (513) 791-6161
- Fax
- (513) 791-4004
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul A Lucky, MD
- Title
- President
- Phone
- (513) 791-6161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
10506 Montgomery Road
#402
Cincinnati, OH 45242
Mailing address
10700 Montgomery Road
#207
Cincinnati, OH 45242
Phone (513) 247-9986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0696493 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2123 Auburn Ave
#210
Cincinnati, OH 45219
Phone (513) 579-9191
7691 5 Mile Rd
Ste 312
Cincinnati, OH 45230
Phone (513) 232-3332
10506 Montgomery Rd
Ste 402
Montgomery, OH 45242
Phone (513) 791-6161
10700 Montgomery Rd
Ste 207
Montgomery, OH 45242
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dermatology Physician
- Cincinnati, OH
- NPI 1285688150
-
- Dermatology Physician
- Brandon, FL
- NPI 1720119928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316044800000",
"number": "1033240247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MONTGOMERY ROAD",
"address_2": "#207",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-247-9986",
"fax_number": "513-247-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY ROAD",
"address_2": "#402",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-791-6161",
"fax_number": "513-791-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES OF CINTI INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2011-09-15",
"status": "A",
"authorized_official_last_name": "LUCKY",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-791-6161",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0696493",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.