NPIMap

Organization Active NPI

Oakview Dermatology

  • Dermatology Physician
  • Athens, OH
National Provider Identifier
1063671063
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
OAKVIEW DERMATOLOGY
Practice address
2111 E State St
Athens, OH 45701-2138
Phone
(740) 566-4621
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Dr. Dawn L Sammons, D.O.
Title
Physician
Phone
(740) 566-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2111 E State St
Athens, OH 45701-2138

Mailing address

2111 E State St
Athens, OH 45701-2138
Phone (740) 566-4621

Other practice location 1

6365 Winchester Blvd
Canal Winchester, OH 43110-2069
Phone (614) 908-1339

Other practice location 2

2443 Troy Rd
Springfield, OH 45504-4233
Phone (937) 505-6505

Other practice location 3

204 Stone Rd
Belpre, OH 45714-5003
Phone (740) 423-3080

Other practice location 4

1510 Columbus Ave Ste 320
Washington Court House, OH 43160-1988
Phone (740) 313-4021

Other identifiers 1

IdentifierTypeStateIssuer
2866546MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080926000269 OH Part B Supplier - Clinic/Group Practice 1254408610 Receives reassigned benefits from 32 practitioners
Practice locations: Lancaster, OH; Washington Court House, OH; Springfield, OH; Gahanna, OH; Chillicothe, OH; Athens, OH; Canal Winchester, OH; Belpre, OH…
O20200204002291 SC Part B Supplier - Clinic/Group Practice 1254408610 Receives reassigned benefits from 12 practitioners
Practice locations: Fort Mill, SC; Rock Hill, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1086752Oakview Dermatology2111 East State Street, Athens, OH 45701ComplianceMar 17, 2028
36D2081918Oakview Dermatology204 Stone Rd, Belpre, OH 45714Certificate of waiverDec 8, 2027
36D2100703Oakview Dermatology2443 Troy Rd, Springfield, OH 45504ComplianceMay 4, 2028

National Provider Directory

National Provider Directory

Locations

2111 E State St
Athens, OH 45701
Phone (740) 300-1746

6365 Winchester Blvd
Canal Winchester, OH 43110
Phone (614) 355-8990

6441 Winchester Blvd
Ste 1
Canal Winchester, OH 43110
Phone (614) 908-1339

6365 Winchester Blvd
Ste A
Canal Winchester, OH 43110
Phone (614) 524-4146

2443 Troy Rd
Springfield, OH 45504
Phone (937) 505-6505

485 Tom Hall St
Ste 101
Fort Mill, SC 29715
Phone (803) 228-7972

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

937 Riverwalk Pkwy
Ste 203
Rock Hill, SC 29730
Phone (740) 300-1746

937 Riverwalk Pkwy
Ste 202
Rock Hill, SC 29730
Phone (740) 300-1746

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1063671063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-566-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012138",
            "telephone_number": "740-566-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6365 Winchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431102069",
            "country_code": "US",
            "telephone_number": "614-908-1339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2443 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455044233",
            "country_code": "US",
            "telephone_number": "937-505-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Stone Rd",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457145003",
            "country_code": "US",
            "telephone_number": "740-423-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 Columbus Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601988",
            "country_code": "US",
            "telephone_number": "740-313-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAKVIEW DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-566-4621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "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": "2866546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.