Individual provider Active NPI

Alison B Durham, M.D.

  • MOHS-Micrographic Surgery Physician
  • Canton, OH
National Provider Identifier
1104089747
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
35.143535 Issued in OH
Practice address
4240 Munson St. NW
Ste C
Canton, OH 44718-4804
Phone
(330) 492-2327
Fax
(330) 492-0953
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 35.143535 OH Primary
Procedural Dermatology Physician 207NS0135X 4301093769 MI
MOHS-Micrographic Surgery Physician 207ND0101X 4301093769 MI
Dermatology Physician 207N00000X 4301093769 MI

Addresses

Primary practice location

4240 Munson St. NW
Ste C
Canton, OH 44718-4804

Mailing address

2000 Auburn Dr
Ste 350
Beachwood, OH 44122-4327
Phone (440) 646-1600

Other names 1

  • Dr. Alison Marie Bates 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
I20220316002782 OH Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7517101496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Icahn School of Medicine at Mount Sinai, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of skin lesions213
Removal of skin cancer1720
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Dermatology CurrentSince Mar 1, 2022 Accepting new patients
SCH Professional Corporation Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc PastSince Mar 1, 2022 Accepting new patients

Locations

4240 Munson St NW
Ste C
Canton, OH 44718
Phone (330) 492-2327

4124 Munson St NW
Canton, OH 44718
Phone (234) 410-7546

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

5800 Landerbrook Dr
Ste 100
Mayfield Hts, OH 44124
Phone (323) 800-2799

Interoperability endpoints

  • Direct secure messaging: adurham@apexskin.emadirect.md

Organizations & group practices 3

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1104089747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR",
            "address_2": "STE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224327",
            "telephone_number": "440-646-1600",
            "fax_number": "440-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST. NW",
            "address_2": "STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184804",
            "telephone_number": "330-492-2327",
            "fax_number": "330-492-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ALISON",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35.143535",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MI",
            "license": "4301093769",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301093769",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301093769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "BATES",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.