Glo Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35094454 Issued in OH

Legal business name

GLO DERMATOLOGY LLC

Practice address

5500 Broadview Rd
Parma, OH 44134-1605

Phone

(216) 351-7700

Fax

(216) 351-9651

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Shaza Daoud, MDNPI 1063615375

Title

Sole Owner/Member

Phone

(216) 351-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Shaza Daoud, MD

  • Dermatology Physician
  • Parma, OH
  • NPI 1063615375
  Medicare reassignment NPD Authorized official
• Jenna Marie Karim, DMD

  • General Practice Dentistry
  • Parma, OH
  • NPI 1992565683
  NPD
• Alisha Nicole Thompson, DMD, MPH

  • General Practice Dentistry
  • Parma, OH
  • NPI 1609518141
  NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1124448527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341605",
            "telephone_number": "216-351-7700",
            "fax_number": "216-351-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341605",
            "telephone_number": "216-351-7700",
            "fax_number": "216-351-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLO DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "DAOUD",
        "authorized_official_first_name": "SHAZA",
        "authorized_official_title_or_position": "SOLE OWNER/MEMBER",
        "authorized_official_telephone_number": "216-351-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35094454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Gittinger, MD
• Janet T Glaeser
• Sandra Lorraine Gleisner, N.P.
• Brianna Chelayne Glenn
• Boris Gliner, M.D.
• Maryann Kay Goebel, L.P.T.
• Amanda Glynn Goethals, D.O.
• Michelle Goettemoeller, FNP-C
• Kathleen Mary Goggin, LMT
• Myra A Gold, MPAS - PA-C

• Dermatology Physician in Parma, OH
• Providers in Parma, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.