Ohio Dermatology and Skin Cancer, LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35065121 Issued in OH

Legal business name

OHIO DERMATOLOGY AND SKIN CANCER, LTD

Practice address

4439 State Route 159
Suite 150
Chillicothe, OH 45601-8207

Phone

(740) 779-4700

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Dean William Hearne, M.D.NPI 1932117579

Title

President

Phone

(614) 848-4389

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Dean W. Hearne, M.D.

  • Dermatology Physician
  • Grove City, OH
  • NPI 1932117579
  NPD (past) Authorized official

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1144410903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 BRIARMEADOW DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-848-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "SUITE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO DERMATOLOGY AND SKIN CANCER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HEARNE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-848-4389",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35065121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145373",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice N O'Rourke
• Julie Allyn Oates, LPCC-S
• Ohio Centers for Hand & Physical Rehabilitation, LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio Valley Surgery Center LLC
• Ohio Valley Surgery Center LLC
• Ohrh, LLC
• Ohrh, LLC
• Jackson Okeefe, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.